Mary Ratcliffe Bennett, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2650 Ridge Ave
Evanston, IL 60201-1718

Phone

(847) 570-2396

Fax

(847) 570-2905

NPI assigned

Jan 14, 2008

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)

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.

• Primary Care Partners, Inc.

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1245392612
  NPD (past)
• Primary Care Partners, Inc.

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1801001599
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1811173461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 MIDWAY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623936",
            "telephone_number": "847-570-2396",
            "fax_number": "847-570-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2396",
            "fax_number": "847-570-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARY",
        "middle_name": "RATCLIFFE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Benfey, DPT
• Jennifer Anastasia Benigno, M.D.
• Laila Benjamin, MA, QMHP
• Teresa Bennett Pasquale, MSW, LCSW
• Howard Bruce Bennett, M.D.
• Kirk Bennewitz, DDS
• Jan Wolff Bensdorf, MSW
• Shani Dara Bensman-Correa, PSY.D
• Anders R Benson, LCSW
• Scott K Bentkover, DDS

• Registered Dietitian in Evanston, IL
• Providers in Evanston, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.