Active NPI
Jennifer Leah Bennett, L.M., C.P.M.
- Midwife
- Killeen, TX
National Provider Identifier
1669698627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 02003
- Practice address
- 811 S W S Young Dr
Killeen, TX 76543-4801 - Phone
- (254) 690-5900
- Fax
- (254) 690-5908
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 02003 | TX | Primary |
Addresses
Primary practice location
811 S W S Young Dr
Killeen, TX 76543-4801
Mailing address
433 County Road 3355 E
Kempner, TX 76539
Phone (512) 932-2238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02003 | TX | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avanlee Birth and Maternity Center | 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 and National Provider Directory roles.
-
- Birthing Clinic/Center
- Killeen, TX
- NPI 1861617540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1669698627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 COUNTY ROAD 3355 E",
"city": "KEMPNER",
"state": "TX",
"postal_code": "76539",
"telephone_number": "512-932-2238",
"fax_number": "512-932-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S W S YOUNG DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765434801",
"telephone_number": "254-690-5900",
"fax_number": "254-690-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JENNIFER",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "L.M., C.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "02003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.