Individual provider Active NPI

Benita Halstead, LPN

  • Licensed Practical Nurse
  • Panama City, FL
National Provider Identifier
1619327046
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5196357 Issued in FL
Practice address
2904 E Highway 98
Panama City, FL 32401-5430
Phone
(850) 358-7491
NPI assigned
Jun 16, 2016
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5196357 FL Primary

Addresses

Primary practice location

2904 E Highway 98
Panama City, FL 32401-5430

Mailing address

PO Box 143
Lynn Haven, FL 32444-0143

Other practice location 1

1411 Illinois Ave
Lynn Haven, FL 32444-3847
Phone (850) 276-6374

Other names 1

  • Benita Hill Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5196357FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Purest Hearts Home Care, LLC CurrentSince Mar 7, 2021 Accepting new patients

Locations

2904 E Highway 98
Panama City, FL 32401
Phone (850) 358-7491

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1619327046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015430",
            "telephone_number": "850-358-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Lynn Haven",
            "state": "FL",
            "postal_code": "324443847",
            "country_code": "US",
            "telephone_number": "850-276-6374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "BENITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5196357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "HILL",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.