Nicole Benderoth, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

L1-0028818 Issued in DE

Practice address

925 Bear Corbitt Rd
Bear, DE 19701-1323

Phone

(302) 454-2400

Fax

(302) 454-5440

NPI assigned

Jan 19, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2017.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1831636562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BEAR CORBITT RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011323",
            "telephone_number": "302-454-2400",
            "fax_number": "302-454-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BEAR CORBITT RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011323",
            "telephone_number": "302-454-2400",
            "fax_number": "302-454-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDEROTH",
        "first_name": "NICOLE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0028818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear-Appaloosa LLC
• Kathleen Emma Becker, MA, CCC-SLP
• Behavioral Health Associates, Inc.
• Maricar Gaborne Belicena-Badillo, M.D.
• Anaya Faith Bell
• Toneiya Benson
• Valerie Benson
• Samantha Benvenuto
• Better Wellness Family Practice LLC
• Christi L Betts

• All providers in Bear, DE
• School Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.