Benson O. Shitote, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP126400 Issued in TX

Practice address

2601 W Randol Mill Rd Ste 101
Arlington, TX 76012-4216

Phone

(817) 804-4400

NPI assigned

Dec 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Kurt W. Voss, D.O., P.a.Group PAC ID 3274603154, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Kurt W. Voss, D.O., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Arlington, TX
  • NPI 1922274927
  Medicare reassignment Care Compare group NPD
• Physician Services of Jacksboro PA

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1457657371
  Medicare reassignment NPD
• Vip Healthcare, PLLC

  • Internal Medicine Physician
  • Ennis, TX
  • NPI 1346643566
  Medicare reassignment NPD
• Camelia Mitchell Rigsby MD PA

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1790928091
  Medicare reassignment

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1740688530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810196",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753810196",
            "telephone_number": "817-668-5795",
            "fax_number": "817-423-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W RANDOL MILL RD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124216",
            "telephone_number": "817-804-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITOTE",
        "first_name": "BENSON",
        "middle_name": "O.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126400",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP126400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Shields, LPC-S
• Ty Shields
• Zachary Alexander Shields, DO
• Shine Behavioral LLC
• John S Shing, D.C.
• Nivedita Shivaram, DDS
• Fatima Mustafa Shkokani
• Queana Short
• Michael Shorunke, LVN
• Shannon Showah, OT, PTA

• Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.