Active NPI
Diedre K Benson, ARNP
- Nurse Practitioner
- West Des Moines, IA
National Provider Identifier
1801079462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- S060913
- Practice address
- 4060 Westown Pkwy
West Des Moines, IA 50266-1010 - Phone
- (515) 225-0769
- Fax
- (515) 225-0971
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | S060913 | IA | Primary |
Addresses
Primary practice location
4060 Westown Pkwy
West Des Moines, IA 50266-1010
Mailing address
4060 Westown Pwy
West Des Moines, IA 50266-1010
Phone (515) 225-0769
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
| License | State | Type | Specialty |
|---|---|---|---|
| S060913 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients | |
| Iowa Heart Center PC | Past | Accepting new patients | |
| Iowa Sleep Disorders Center, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
-
- Sleep Disorder Diagnostic Clinic/Center
- Ankeny, IA
- NPI 1437320595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1801079462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WESTOWN PWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661010",
"telephone_number": "515-225-0769",
"fax_number": "515-225-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661010",
"telephone_number": "515-225-0769",
"fax_number": "515-225-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "DIEDRE",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "S060913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.