Beth Ann Bennett, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3008418 Issued in KY

Practice address

Univ of Ky Pediatric Gastroenterology
138 Leader Ave
Lexington, KY 40506-0001

Phone

(859) 218-6192

Fax

(859) 257-7799

NPI assigned

Dec 11, 2013

Last updated

Oct 2, 2019By 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 3

Addresses

Other names 1

• Ms. Beth Ann Brosey Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bbennett25761@ukhcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1942631296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV OF KY PEDIATRIC GASTROENTEROLOGY",
            "address_2": "138 LEADER AVE.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405060001",
            "telephone_number": "859-218-6192",
            "fax_number": "859-257-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIV OF KY PEDIATRIC GASTROENTEROLOGY",
            "address_2": "138 LEADER AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405060001",
            "telephone_number": "859-218-6192",
            "fax_number": "859-257-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008418",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3008418",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1117376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BROSEY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Priddle Benke
• Joshua Benner, PA
• Austin Tyler Bennett, DO
• Bailey Jade Bennett
• Barbara Bennett
• Claire Marie Bennett
• Evan Bennett, PA-C
• Hannah Edwards Bennett, PHARMD, BCPS
• Howard N Bennett, PA-C
• Jordan Leigh Bennett, DPT

• Pediatric Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.