Susan Elizabeth Bennett

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112431 Issued in MO

Practice address

2901 Rockcreek Pkwy
Kansas City, MO 64117-2536

Phone

(816) 201-2273

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Elizabeth Rogge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bedell DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Warrensburg, MO
  • NPI 1053934745
  NPD (past)
• Cass County Pediatrics

  • Pediatrics Physician
  • Belton, MO
  • NPI 1760502454
  NPD (past)
• Children'S Mercy - Cass County Pediatrics & Adolescents

  • Pediatrics Physician
  • Belton, MO
  • NPI 1447784152
  NPD (past)
• Dr. Patrick M Nemechek DO, PA, Nemecheck Health Renewal

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1447368378
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1689709503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 112TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145205",
            "telephone_number": "816-942-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ROCKCREEK PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641172536",
            "telephone_number": "816-201-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660672327",
            "country_code": "US",
            "telephone_number": "913-648-2266",
            "fax_number": "855-348-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "112431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ROGGE",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Grady Bennett, MD
• Kimberly Bennett, RN
• Lisa M. Bennett, NP
• Peyton Nicole Bennett, DO
• Rebecca Bennett, RD
• Jennifer Sue Bennetts, MOT, OTR/L
• Bonnie E Benson, MSW
• Katie C Benson, DC
• Melanie Denise Benson
• Katherine E Bentley, DPT

• All providers in Kansas City, MO
• Family Nurse Practitioner in Missouri

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