Individual provider Active NPI

Carlos J Benitez

  • Interpreter
  • Yelm, WA
National Provider Identifier
1447860770
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
MC55541 Issued in WA
Practice address
16901 Heather LN SE
Yelm, WA 98597-9758
Phone
(661) 304-4310
NPI assigned
Aug 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X MC55541 WA Primary

Addresses

Primary practice location

16901 Heather LN SE
Yelm, WA 98597-9758

Mailing address

16901 Heather LN SE
Yelm, WA 98597-9758
Phone (661) 304-4310

Other identifiers 1

IdentifierTypeStateIssuer
MC55541OtherWAWA STATE MEDICAL INTERPRETER CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC55541WAMDInterpreter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1447860770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 HEATHER LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979758",
            "telephone_number": "661-304-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 HEATHER LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979758",
            "telephone_number": "661-304-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "CARLOS",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC55541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL INTERPRETER CERTIFICATION",
            "identifier": "MC55541",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.