Nicole Marie Benson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.152632.MEDS-IV Issued in OH

Practice address

443 Swank Dr
Tallmadge, OH 44278-1509

Phone

(330) 610-6743

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1871716993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SWANK DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781509",
            "telephone_number": "330-610-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SWANK DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781509",
            "telephone_number": "330-610-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.152632.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460206",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Kaleb Bearden
• Nicole Beharry, M.D.
• Christianna Beiter
• Alyson Marie Belkhayat, DO
• Kay A Bell, PT
• Gretchen Bernard, MA CF-SLP
• Christina S Berwa, OTRL
• Elizabeth Joy Bevington, MD
• Todd Lee Beyer, D.O.
• Brianne Blatt, COTA/L

• Licensed Practical Nurse in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.