Brenda Arlene Bentley, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000014054 Issued in TN

Practice address

2995 Fort Henry Dr
Ste 100
Kingsport, TN 37664-4070

Phone

(423) 502-1312

NPI assigned

Apr 21, 2009

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

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Appalachian Family Care, LLC

  • Family Medicine Physician
  • Vansant, VA
  • NPI 1053336636
  Medicare reassignment NPD
• Emergent Aco, LLC

  • Multi-Specialty Clinic/Center
  • Kingsport, TN
  • NPI 1184369589
  NPD (past)
• MCC, Inc.

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1003935321
  NPD (past)

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1750525853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N JOHN B DENNIS HWY",
            "address_2": "APT 1110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376600812",
            "telephone_number": "423-502-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 FORT HENRY DR",
            "address_2": "STE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644070",
            "telephone_number": "423-502-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "BRENDA",
        "middle_name": "ARLENE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000014054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kihley Annette Bellamy, FNP-C
• Jasmine Benavidez, DDS
• Carl Eric Bendeck, MD
• Charlene Ann Bendeck, CRNA
• Jessica Annmarie Benitez, CRNA
• Robert Patrick Berger, PHARMD
• Ronnie Bernard, ATC
• Felicia Grace Berry, FNP
• Leslie Nicole Berry, PHARMD
• Leslie Berryman, NP-C

• Nurse Practitioner in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.