Individual provider Active NPI

Virginia H Bennett, CNS, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Manchester, CT
National Provider Identifier
1619190212
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
001713 Issued in CT
Practice address
223 East Center St
Manchester, CT 06040
Phone
(860) 647-1582
Fax
(860) 647-1582
NPI assigned
Apr 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 00173 CT
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0281025-01 CT
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 001713 CT Primary

Addresses

Primary practice location

223 East Center St
Manchester, CT 06040

Mailing address

P.O Box 1072
Manchester, CT 06045
Phone (860) 647-1582

Other identifiers 3

IdentifierTypeStateIssuer
01713OtherCTAPRN
028102501OtherCLINICAL SPECIAL ADULT ME
4200284MedicaidCT

Other names 1

  • Ginny Bennett Other name

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
001713CTMDMarriage & Family Therapist
00173CTMDNurse Practitioner
0281025-01CTMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medoptions Behavioral Health Assoc, LLC Nurse Practitioner Past Accepting new patients

Organizations & group practices 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619190212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1072",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06045",
            "telephone_number": "860-647-1582",
            "fax_number": "860-647-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 EAST CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-647-1582",
            "fax_number": "860-647-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "VIRGINIA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CNS, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "00173",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "0281025-01",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "01713",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SPECIAL ADULT ME",
            "identifier": "028102501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200284",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNY",
            "last_name": "BENNETT",
            "credential": "CLINICAL NURSE SPECI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.