Individual provider Active NPI

Benita Kinard, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Cove, NY
National Provider Identifier
1578633608
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F304062 Issued in NY
Practice address
50 Glen St
Ste 107
Glen Cove, NY 11542-2701
Phone
(866) 677-7622
NPI assigned
Nov 8, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F304062 NY Primary
Nurse Practitioner 363L00000X F304062 NY

Addresses

Primary practice location

50 Glen St
Ste 107
Glen Cove, NY 11542-2701

Mailing address

50 Glen St
Ste 107
Glen Cove, NY 11542-2701
Phone (866) 677-7622

Other names 1

  • Benita Kinard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070205000453 NY Practitioner - Nurse Practitioner 4082616016 Reassigns benefits to 2 organizations
I20201015000351 KS Practitioner - Nurse Practitioner 4082616016

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Medical Practice PCGroup PAC ID 0042687006, 33 clinicians
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

1256 E 31St St
Brooklyn, NY 11210-4741
Phone (718) 534-0689

4573 State Route 40
Argyle, NY 12809-3474
Phone (212) 734-6621

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 519-4125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304062NYMDPediatrics Physician
F304062NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

5607 Everhart Rd
Corpus Christi, TX 78411
Phone (361) 854-4601

Organizations & group practices 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1578633608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLEN ST",
            "address_2": "STE 107",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422701",
            "telephone_number": "866-677-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN ST",
            "address_2": "STE 107",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422701",
            "telephone_number": "866-677-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD",
        "first_name": "BENITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F304062",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F304062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "KINARD",
            "credential": "ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.