Individual provider Active NPI

Shewaye Serbesa Benti

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1679035141
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12966 Issued in DC
Practice address
8808 Lanier Dr
Silver Spring, MD 20910-2310
Phone
(240) 593-6756
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12966 DC Primary

Addresses

Primary practice location

8808 Lanier Dr
Silver Spring, MD 20910-2310

Mailing address

8808 Lanier Dr
Silver Spring, MD 20910-2310
Phone (240) 593-6756

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
HHA12966DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1679035141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 LANIER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102310",
            "telephone_number": "240-593-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 LANIER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102310",
            "telephone_number": "240-593-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTI",
        "first_name": "SHEWAYE",
        "middle_name": "SERBESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.