Shainy Benny Varghese, PHD, RN, CPNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

603668 Issued in TX

Practice address

2503 S Main St
Suite C
Stafford, TX 77477-5544

Phone

(281) 261-5800

Fax

(281) 261-5885

NPI assigned

Mar 10, 2010

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Locations

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.

• Just 4 Kids Pediatrics LLP

  • Pediatric Nurse Practitioner
  • Stafford, TX
  • NPI 1962840074

  Pediatrics

  NPD

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1568785178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S MAIN ST",
            "address_2": "SUITE C",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775544",
            "telephone_number": "281-261-5800",
            "fax_number": "281-261-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S MAIN ST",
            "address_2": "SUITE C",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775544",
            "telephone_number": "281-261-5800",
            "fax_number": "281-261-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY VARGHESE",
        "first_name": "SHAINY",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "603668",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "603668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "603668",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962840074",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Below
• Bema Healthcare Inc
• Benevolent Hospice of Houston, LLC
• Cristina Benezra
• Yuri Benitez
• Nana-Ama Ankumah Bentum, M.D.
• Naomi Kate Berger Perez, LPC
• Patricia Lucille Berkstresser, P.T.
• Sylvia Berrios, CCC-SLP
• Emily Berry

• Primary Care Nurse Practitioner in Stafford, TX
• Providers in Stafford, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.