Organization Active NPI

Aprn Bennett Health Care , Corporation

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1821747395
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
APRN BENNETT HEALTH CARE , CORPORATION
Practice address
22570 SW 89TH PL
Cutler Bay, FL 33190-1332
Phone
(786) 797-8244
Fax
(786) 701-3146
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Marisol Bennett, APRNNPI 1457905622
Title
President
Phone
(786) 797-8244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

22570 SW 89TH PL
Cutler Bay, FL 33190-1332

Mailing address

22570 SW 89TH PL
Cutler Bay, FL 33190-1332
Phone (786) 797-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102002533 FL Part B Supplier - Clinic/Group Practice 3779950886 Receives reassigned benefits from 1 practitioner
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1821747395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22570 SW 89TH PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901332",
            "telephone_number": "786-797-8244",
            "fax_number": "786-701-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22570 SW 89TH PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901332",
            "telephone_number": "786-797-8244",
            "fax_number": "786-701-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APRN BENNETT HEALTH CARE , CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-797-8244",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.