Active NPI
Audrey Ann Benedict
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1177370
- Practice address
- 6201 Harry Hines Blvd
Dallas, TX 75235-5202 - Phone
- (214) 633-5555
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN270801 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1177370 | TX | Primary |
Addresses
Primary practice location
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Mailing address
1405 Bent Creek Dr
Southlake, TX 76092-9407
Phone (970) 980-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Emory University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 648-6400
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270801 | GA | MD | Registered Nurse |
| 1177370 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1114992161
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1679313449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 BENT CREEK DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929407",
"telephone_number": "970-980-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355202",
"telephone_number": "214-633-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "AUDREY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN270801",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1177370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.