Janice Richter Bennett, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2284 Issued in FL

Practice address

5829 Pepsi PL
Jacksonville, FL 32216-6162

Phone

(904) 443-0885

NPI assigned

Jul 6, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14607/brand/1/csg/1/fhir/r4

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.

• Center for Medicine and Psychiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1528010923
  NPD (past)
• Mohamed Saleh Dispensary

  • Non-Pharmacy Dispensing Site
  • Jacksonville, FL
  • NPI 1518130590
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1730387101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12079 BLACKFOOT TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233233",
            "telephone_number": "904-234-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 PEPSI PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166162",
            "telephone_number": "904-443-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JANICE",
        "middle_name": "RICHTER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291560000  29",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy N Bennett, ATC
• Dejoris Bennett
• Flordeliza L Bennett
• Itzel Maria Bennett
• James Brandon Bennett, DMD
• Jill Elizabeth Bennett, PHARMD
• Jo-an Bennett
• Kalyn Bennett
• Katie Beth Bennett, PA-C
• Lillyn Marie Bennett, LOTR, CLT, CFPS

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.