Active NPI
Benzina Sarden, LPN
- Licensed Practical Nurse
- Suffolk, VA
National Provider Identifier
1568124618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0002088185
- Practice address
- 1258 Holland Rd
Suffolk, VA 23434-6313 - Phone
- (800) 805-6989
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002088185 | VA | Primary |
Addresses
Primary practice location
1258 Holland Rd
Suffolk, VA 23434-6313
Mailing address
1258 Holland Rd
Suffolk, VA 23434-6313
Phone (800) 805-6989
Other practice location 1
1258 Holland Rd
Suffolk, VA 23434
Phone (800) 805-6989
Other practice location 2
1258 Holland Rd
Suffolk, VA 23434-6313
Phone (800) 805-6989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901 | Other | VA | OPTIMA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bsarden1 |
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 |
|---|---|---|---|
| 0002088185 | VA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1568124618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 HOLLAND RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346313",
"telephone_number": "800-805-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 HOLLAND RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346313",
"telephone_number": "800-805-6989"
}
],
"practiceLocations": [
{
"address_1": "1258 Holland Rd",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "23434",
"country_code": "US",
"telephone_number": "800-805-6989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1258 Holland Rd",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234346313",
"country_code": "US",
"telephone_number": "800-805-6989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARDEN",
"first_name": "BENZINA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "VA",
"license": "0002088185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "0901",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bsarden1",
"affiliation": "N",
"address_1": "1258 Holland Rd",
"city": "Suffolk",
"state": "VA",
"country_code": "US",
"postal_code": "234346313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.