Individual provider Active NPI

Brittany Bennett, FNP

  • Family Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1538690342
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22472 Issued in TN
Practice address
1954 Saint John Ave
Suite 1
Dyersburg, TN 38024-2120
Phone
(731) 285-6110
NPI assigned
Mar 23, 2017
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22472 TN Primary

Addresses

Primary practice location

1954 Saint John Ave
Suite 1
Dyersburg, TN 38024-2120

Mailing address

1954 Saint John Ave
Suite 1
Dyersburg, TN 38024-2120
Phone (731) 285-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180601000509 TN Practitioner - Nurse Practitioner 7416212014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Rite PLLCGroup PAC ID 7911160254, 8 clinicians

Practice addresses (Care Compare)

1445 US Hwy 51 Byp E
Dyersburg, TN 38024-2127
Phone (731) 286-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22472TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Rite PLLC CurrentSince Nov 27, 2017 Accepting new patients
Care Rite, PLLC CurrentSince Nov 27, 2017 Accepting new patients

Locations

1445 US Highway 51 Byp E
Dyersburg, TN 38024
Phone (731) 286-1900

106 E Main St
Halls, TN 38040
Phone (731) 836-9700

521 Highway 51 N
Ripley, TN 38063
Phone (731) 635-2000

Organizations & group practices 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1538690342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 SAINT JOHN AVE",
            "address_2": "SUITE 1",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242120",
            "telephone_number": "731-285-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 SAINT JOHN AVE",
            "address_2": "SUITE 1",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242120",
            "telephone_number": "731-285-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRITTANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.