Sweetwater Family Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SWEETWATER FAMILY CLINIC, LLC

Practice address

601 E 1St St
Sweetwater, TX 79556-4654

Phone

(325) 335-1444

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Kobie Benham, NPNPI 1457982506

Title

Owner

Phone

(325) 260-5225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kobie Austin Benham

  • Family Nurse Practitioner
  • Snyder, TX
  • NPI 1457982506
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly A Dean, FNP

  • Family Nurse Practitioner
  • Sweetwater, TX
  • NPI 1093607038
  Medicare reassignment Care Compare group NPD
• Crystal J Rogers, APRN-CNP

  • Family Nurse Practitioner
  • Sweetwater, TX
  • NPI 1538927009
  Medicare reassignment Care Compare group NPD
• Dlinda G Benham, NP

  • Family Nurse Practitioner
  • Snyder, TX
  • NPI 1558870709
  Medicare reassignment NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1720847403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 1ST ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795564654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 1ST ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795564654",
            "telephone_number": "325-335-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BENHAM",
        "authorized_official_first_name": "KOBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-260-5225",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastiacia Nicole Soto, FNP-C
• Joshua Stone, PA
• Stratford Hospital District
• Stratford Hospital District D/B/a Sweetwater Healthcare Center
• Blayne K Street, D.O.
• Sweetwater Family Medical Associates
• Sweetwater Health Care Center
• Sweetwater Independent School District
• Sweetwater Isd
• Sweetwater Spine Clinic, P.a.

• Family Nurse Practitioner in Sweetwater, TX
• Providers in Sweetwater, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.