Bonnie Bernice Benetato, RN, FNP,PHD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005558 Issued in NC

Practice address

800 Moye Blvd
Greenville, NC 27834-3777

Phone

(252) 830-2149

NPI assigned

Sep 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1891891040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CYPRESS SHORE RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278898555",
            "telephone_number": "202-549-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343777",
            "telephone_number": "252-830-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENETATO",
        "first_name": "BONNIE",
        "middle_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICINSE",
            "identifier": "RN54697",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Fuller Bell, M.D.
• Lauren Bell
• William Lynn Bell, MD
• Luanna Bellairs-Salemi, SLP
• La'Neika Benbow, LCSW, MFT
• Rebecca Benfield, CNM
• Hostensia Mbi Beng, M.D.
• Deborah Bengala, CCC-SLP
• Carlos Germaine Bennerman, MSW, P-LCSW
• Allessandra Monique Bennett Lowery, DDS

• Family Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.