Individual provider Active NPI

Lemkham Benton, APRN

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1689820284
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9276372 Issued in FL
Practice address
7007 Grove Road
Brooksville, FL 34609
Phone
(352) 596-4306
NPI assigned
Aug 14, 2008
Reactivated
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9276372 FL Primary

Addresses

Primary practice location

7007 Grove Road
Brooksville, FL 34609

Mailing address

7007 Grove Rd
Brooksville, FL 34609-8610
Phone (352) 596-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724000806 FL Practitioner - Nurse Practitioner 9638405095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9276372FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myvisitingdoctorsinc CurrentSince Oct 1, 2024 Accepting new patients

Locations

10494 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 666-4424

10514 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 666-4424

7007 Grove Rd
Spring Hill, FL 34609
Phone (352) 293-3467

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1689820284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 GROVE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346098610",
            "telephone_number": "352-596-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 GROVE ROAD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-596-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "LEMKHAM",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-06-06",
        "deactivation_date": "2019-03-27",
        "reactivation_date": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9276372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.