Active NPI
Jennifer Benton, APRN
- Family Medicine Physician
- Cabot, AR
National Provider Identifier
1528895299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 226375
- Practice address
- 2794 S 2ND St Ste D
Cabot, AR 72023-7020 - Phone
- (501) 288-9651
- NPI assigned
- Sep 17, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 226375 | AR | Primary |
Addresses
Primary practice location
2794 S 2ND St Ste D
Cabot, AR 72023-7020
Mailing address
603 Mount Vernon Rd
Mount Vernon, AR 72111-9090
Phone (501) 912-9442
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
| License | State | Type | Specialty |
|---|---|---|---|
| 226375 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1528895299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 MOUNT VERNON RD",
"city": "MOUNT VERNON",
"state": "AR",
"postal_code": "721119090",
"telephone_number": "501-912-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2794 S 2ND ST STE D",
"city": "CABOT",
"state": "AR",
"postal_code": "720237020",
"telephone_number": "501-288-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "226375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.