Shelly Beck Benfield, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95012081 Issued in CA

Practice address

5644 Mission Center Rd Ste 101
San Diego, CA 92108-4328

Phone

(866) 389-2727

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1891346508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 PETRA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045739",
            "telephone_number": "619-981-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 MISSION CENTER RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084328",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFIELD",
        "first_name": "SHELLY",
        "middle_name": "BECK",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Charissa Benefiel, LCSW
• Magdalena Beneitez, M.A. MFT
• Maureen C Benetti, N.P.
• Richard Paul Benfante, LMFT
• Rodd Jason Benfield, MD
• Breana Benford
• Austin J Benham
• Maura Benigni, BEHAVIOR TECHNICIAN
• Elise Benik, MOT/L
• Tara Jean Benintende, LCSW

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.