John Kelly Bennett, RT (R,CT)

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

CRT52901 Issued in FL

Practice address

1661 Kinsmere Dr
Trinity, FL 34655-4528

Phone

(727) 236-5309

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1710137583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 KINSMERE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554528",
            "telephone_number": "727-236-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 KINSMERE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554528",
            "telephone_number": "727-236-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "RT (R,CT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "FL",
            "license": "CRT52901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Avanell Beck, AA-C
• Chad Beckstrom
• Behavior Analysis Consultants
• Brooke R Bellman
• Anaidiel Beltran, APRN
• Krista Lynn Bennett, APRN
• Christina Lynn Berg, DPM
• Kurt T. Besch, M.D.
• Timothy Petru Beuca, DO
• Beyond Bones Health Solutions Inc.

• Radiologic Technologist in Trinity, FL
• Providers in Trinity, FL by specialty
• Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.