Active NPI
Nancy T. Benda, PA-C
- Physician Assistant
- Keene, NH
National Provider Identifier
1497836951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 580 Court Street the Cheshire Medical Center
Emergency Medicine Department
Keene, NH 03431 - Phone
- (603) 354-6600
- Fax
- (603) 354-6605
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
580 Court Street the Cheshire Medical Center
Emergency Medicine Department
Keene, NH 03431
Mailing address
580 Court Street the Cheshire Medical Center
Emergency Medicine Department
Keene, NH 03431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008461 | Medicaid | VT | |
| 0312 P | Other | NH | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0312 | NH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497836951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 COURT STREET THE CHESHIRE MEDICAL CENTER",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "KEENE",
"state": "NH",
"postal_code": "03431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 COURT STREET THE CHESHIRE MEDICAL CENTER",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-6600",
"fax_number": "603-354-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDA",
"first_name": "NANCY",
"middle_name": "T.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008461",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0312 P",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.