Melissa Ann Bennett, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

749190 Issued in NY

Practice address

10 Edward Diana Way
Middletown, NY 10941-1838

Phone

(845) 421-2739

NPI assigned

Aug 10, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1710652078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EDWARD DIANA WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411838",
            "telephone_number": "845-421-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EDWARD DIANA WAY",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411838",
            "telephone_number": "845-421-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "749190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "129",
            "identifier": "163W00000X",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbennett@asfl.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Edward Diana Way",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109411838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kerri-Ann Bell, DNP, ANP-C
• Juliette Belleau
• Maureen Theresa Bellettiere, M.S. SP. ED.
• Danielle Cross Belser, M.D.
• Kathryn Ann Bendlin, RN
• Ronica M Bennett
• Zacheriah Robert Benton, MD
• Ann Marie A Bentsi-Addison, CNM
• Laurenne A. Benzenberg, LCSW
• Heather Berentsen

• Registered Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.