Individual provider Active NPI

Kellie Ann Benway, RN

  • Case Management Registered Nurse
  • Tucson, AZ
National Provider Identifier
1528950409
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
209664 Issued in AZ
Practice address
2 W Greenock Dr Apt 2CC
Tucson, AZ 85737-7629
Phone
(702) 334-4988
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 209664 AZ Primary

Addresses

Primary practice location

2 W Greenock Dr Apt 2CC
Tucson, AZ 85737-7629

Mailing address

2 W Greenock Dr Apt 2CC
Tucson, AZ 85737-7629
Phone (702) 334-4988

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

LicenseStateTypeSpecialty
209664AZMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1528950409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W GREENOCK DR APT 2CC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377629",
            "telephone_number": "702-334-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W GREENOCK DR APT 2CC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377629",
            "telephone_number": "702-334-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENWAY",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "209664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.