Individual provider Active NPI

Fredeline D. Amedee-Benjamin, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1780897082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8672 Issued in FL
Practice address
5335 N Military TRL Ste 44
West Palm Beach, FL 33407-3033
Phone
(561) 683-6638
Fax
(561) 683-6684
NPI assigned
May 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8672 FL Primary

Addresses

Primary practice location

5335 N Military TRL Ste 44
West Palm Beach, FL 33407-3033

Mailing address

5335 N Military TRL Ste 44
West Palm Beach, FL 33407-3033
Phone (561) 683-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8672FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780897082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 N MILITARY TRL STE 44",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073033",
            "telephone_number": "561-683-6638",
            "fax_number": "561-683-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 N MILITARY TRL STE 44",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073033",
            "telephone_number": "561-683-6638",
            "fax_number": "561-683-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEDEE-BENJAMIN",
        "first_name": "FREDELINE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.