Active NPI
Laura Benton
- Gerontology Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1659734408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- AP128941
- Practice address
- 4100 Duval Rd BLDG 3
Suite 200
Austin, TX 78759-4275 - Phone
- (512) 485-7200
- Fax
- (512) 485-7220
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | AP128941 | TX | Primary |
Addresses
Primary practice location
4100 Duval Rd BLDG 3
Suite 200
Austin, TX 78759-4275
Mailing address
4100 Duval Rd BLDG 3
Suite 200
Austin, TX 78759-4275
Phone (512) 485-7200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1659734408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 DUVAL RD BLDG 3",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594275",
"telephone_number": "512-485-7200",
"fax_number": "512-485-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 DUVAL RD BLDG 3",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594275",
"telephone_number": "512-485-7200",
"fax_number": "512-485-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "TX",
"license": "AP128941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.