Nicole L Benjamin, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN2301802 Issued in MA

Practice address

14 Annies Way
Springfield, MA 01119-1483

Phone

(413) 386-7997

NPI assigned

Jan 13, 2021

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1568051555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ANNIES WAY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191483",
            "telephone_number": "413-386-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ANNIES WAY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191483",
            "telephone_number": "413-386-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2301802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet A Beneitone, R.N.
• Tracy J Benerakis, RN
• Benjamin C Dickert (Springfield Podiatry Associates)
• Benjamin C. Dickert
• Evan M Benjamin, MD
• Erita Bennett
• Linda Diane Bennett
• Sherine Bennett, LICSW
• Tameka Nicole Bennett
• Chloe Benoit

• General Practice Registered Nurse in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.