Active NPI
Tina Marie Benandi
- Optician
- Marrero, LA
National Provider Identifier
1922073584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 1412 Gaudet Dr
Marrero, LA 70072-4022 - Phone
- (985) 768-1995
- Fax
- (504) 533-0114
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1412 Gaudet Dr
Marrero, LA 70072-4022
Mailing address
1412 Gaudet Dr
Marrero, LA 70072-4022
Phone (985) 768-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raven Clinic | Clinic/Center | Current | Accepting new patients |
| Preferred Care Community Health Center | Clinic/Center | Current | Accepting new patients |
| RHCD Corporation, LLC | Clinic/Center | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17250/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/20025/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Monroe, LA
- NPI 1578078358
Clinic/Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1922073584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 GAUDET DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724022",
"telephone_number": "985-768-1995",
"fax_number": "504-533-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 GAUDET DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724022",
"telephone_number": "985-768-1995",
"fax_number": "504-533-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENANDI",
"first_name": "TINA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.