Laura Bennett, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

R31992 Issued in NM

Practice address

607 E Apache St
Farmington, NM 87401-6925

Phone

(505) 326-2012

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1932659273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016925",
            "telephone_number": "505-326-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016925",
            "telephone_number": "505-326-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R31992",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "R31992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "1265683049",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Benally
• Tina Benally, AT
• Yolanda R Benally
• Elijah Cole Benallyson, PSR AIDE
• Brigette Benedict, M.A, CCC-SLP
• Bentley Chiropractic, PC
• Robert T Bentley, DC
• Samuel Bergener, CRNA
• Tisa Bernally-Russell, BSW, LSAA
• Stephen Thomas Bernard, M.D.

• Addiction (Substance Use Disorder) Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.