Mary Bendella Benjamin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

142186 Issued in OH

Practice address

17912 North Blvd
Maple Heights, OH 44137-2749

Phone

(216) 355-9634

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1922878370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17912 NORTH BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372749",
            "telephone_number": "216-355-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17912 NORTH BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372749",
            "telephone_number": "216-355-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MARY",
        "middle_name": "BENDELLA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "142186",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "142186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Monique Beach
• Demetra Beard
• Jacqueline Marie Beard, D.M.D.
• Julie A Beard
• Tiayasha Patrice Bell, LPN
• Angela M Bennett, M.D.
• Latonya Marie Bennett
• BHG Sunrise LLC
• Dunja Biggins
• Chania Blair

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.