Active NPI
Elizabeth H. Bennett, C.R.N.P.
- Nurse Practitioner
- Columbia, MD
National Provider Identifier
1467453308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R052302
- Practice address
- 10910 Little Patuxent Parkway
Suite 100
Columbia, MD 21044 - Phone
- (410) 997-8444
- Fax
- (410) 997-8832
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R052302 | MD | Primary |
Addresses
Primary practice location
10910 Little Patuxent Parkway
Suite 100
Columbia, MD 21044
Mailing address
PO Box 21182
Baltimore, MD 21228
Phone (410) 368-8640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LN9735127102 | Other | MD | CAREFIRST |
| 90121100 | Medicaid | MD | |
| W6620200 | Other | DC | CAREFIRST |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R052302 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467453308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21182",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-368-8640",
"fax_number": "410-368-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10910 LITTLE PATUXENT PARKWAY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "410-997-8444",
"fax_number": "410-997-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ELIZABETH",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R052302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "LN9735127102",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90121100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "W6620200",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.