Individual provider Active NPI

Monica D Bennett, LPN

  • Licensed Practical Nurse
  • Marietta, OH
National Provider Identifier
1922659465
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
172273 Issued in OH
Practice address
812 3Rd St
Marietta, OH 45750-1803
Phone
(740) 371-5476
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 31840 WV
Licensed Practical Nurse 164W00000X 172273 OH Primary

Addresses

Primary practice location

812 3Rd St
Marietta, OH 45750-1803

Mailing address

2301 Nora St
Parkersburg, WV 26101-6843
Phone (304) 699-9114

Other identifiers 1

IdentifierTypeStateIssuer
172273OtherOHOH NURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MonicaDBennett@orianahouse.org

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

State licenses

LicenseStateTypeSpecialty
172273OHMDLicensed Practical Nurse
31840WVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1922659465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NORA ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016843",
            "telephone_number": "304-699-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501803",
            "telephone_number": "740-371-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MONICA",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "31840",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "172273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH NURSING LICENSE",
            "identifier": "172273",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MonicaDBennett@orianahouse.org",
            "affiliation": "N",
            "address_1": "812 3rd St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.