Leif Benjestorf, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60201664 Issued in WA

Practice address

19109 36TH Ave W
Suite # 209
Lynnwood, WA 98036-5767

Phone

(206) 569-8457

Fax

(425) 673-7586

NPI assigned

Aug 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Shifa Health PLLC

  • Cognitive & Behavioral Psychologist
  • Mount Vernon, WA
  • NPI 1356415327
  Medicare reassignment NPD
• Danielle Waldron Arnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1760297741
  NPD (past)
• Erika Giraldo, PLLC

  • Psychiatry Physician
  • Lynnwood, WA
  • NPI 1720560436
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1619109774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19109 36TH AVE W",
            "address_2": "SUITE # 209",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365767",
            "telephone_number": "206-569-8457",
            "fax_number": "425-673-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19109 36TH AVE W",
            "address_2": "SUITE # 209",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365767",
            "telephone_number": "206-569-8457",
            "fax_number": "425-673-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJESTORF",
        "first_name": "LEIF",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60201664",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00174674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Michelle Bemis, PHARMD
• Marissa N. Bender, DMD, MBA
• Hillary Ann Bendiksen, LMHC
• Vadym Bendzar
• Brenda Elaine Benjamin, RN
• Archer Bennett
• Alyssa Benson
• Hannah Benson, OTD, OTR/L
• Laura Elizabeth Benson
• Britany Rian Bentley

• Psychiatric/Mental Health Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.