Katetia H Bennett

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

202876 Issued in NC

Practice address

3500 Vest Mill Rd Ste 33
Winston Salem, NC 27103-2978

Phone

(336) 934-5354

Fax

(877) 445-5698

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innovation Healthcare Solution, PLLC

  • Nursing Care Agency
  • Winston Salem, NC
  • NPI 1790327666
  NPD (past) Authorized official

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1780145714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 CRUSADE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012252",
            "telephone_number": "336-983-3046",
            "fax_number": "877-445-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VEST MILL RD STE 33",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032978",
            "telephone_number": "336-934-5354",
            "fax_number": "877-445-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KATETIA",
        "middle_name": "H",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "202876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bert Bennett III, PH.D.
• Briton Malcom Bennett
• Dana Henley Bennett
• Jerry L Bennett, MD
• Justin Bennett, M.D.
• Laura C Bennett, PA
• Cody Benoit
• Allen Benson
• Inga Funtella Benson, NP
• Bentley Counseling & Consulting, PLLC

• Home Health Registered Nurse in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.