Active NPI
Samuel Rowan Bennett, RN
- Psychiatric/Mental Health Registered Nurse
- Columbus, OH
National Provider Identifier
1528500477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN.401872
- Practice address
- 900 E Dublin Granville Rd
Columbus, OH 43229-2452 - Phone
- (614) 706-2786
- NPI assigned
- Nov 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.401872 | OH | Primary |
Addresses
Primary practice location
900 E Dublin Granville Rd
Columbus, OH 43229-2452
Mailing address
5095 Zimmer Drive
Columbus, OH 43232
Phone (419) 602-2125
Other practice location 1
765 Pierce Drive
Columbus, OH 43223
Phone (614) 223-1650 ext. 318
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.401872 | OH | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528500477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5095 ZIMMER DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43232",
"telephone_number": "419-602-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E DUBLIN GRANVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432292452",
"telephone_number": "614-706-2786"
}
],
"practiceLocations": [
{
"address_1": "765 Pierce Drive",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43223",
"country_code": "US",
"telephone_number": "614-223-1650 x318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "SAMUEL",
"middle_name": "ROWAN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.401872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.