Kathryn Benjamin, BA THEATRE ARTS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1045 Kilauea Ave
#A
Hilo, HI 96720-4291

Phone

(808) 935-2188

Fax

(808) 961-2073

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1457764003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1841 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061909",
            "telephone_number": "808-681-3500",
            "fax_number": "808-681-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KILAUEA AVE",
            "address_2": "#A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204291",
            "telephone_number": "808-935-2188",
            "fax_number": "808-961-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "KATHRYN",
        "credential": "BA THEATRE ARTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina C Begner, LCSW
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• Kayci Jean Hiilei Benevides
• Shelley Bereman-Benevides
• Andrew C. Berger
• Mark W Bergner, RN
• Maria Bermudez
• Goloka Bernal

• All providers in Hilo, HI
• Case Manager/Care Coordinator in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.