Kristina Bennes
Individual provider Active NPI Attendant Care Provider · Gloucester, VA
NPI 1881200780 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1881200780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 7861 Indian Rd
Gloucester, VA 23061-5258 - Phone
- (804) 832-5586
- NPI assigned
- Sep 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | VA | Yes |
Addresses
Primary practice location
7861 Indian Rd
Gloucester, VA 23061-5258
Mailing address
4064 Eagle Rd
Hayes, VA 23072-4630
Phone (804) 832-5586
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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All providers in Gloucester, VA · Attendant Care Provider in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.