Active NPI
Diane T Bennett, CNP
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1952302903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP06886
- Practice address
- 4055 Valley View LN Ste 400
Dallas, TX 75244-5071 - Phone
- (877) 570-9359
- NPI assigned
- Aug 2, 2005
- Last updated
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP06886 | OH | Primary |
Addresses
Primary practice location
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Mailing address
908 N 6TH St
Cambridge, OH 43725
Phone (740) 680-8289
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP06886 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1952302903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N 6TH ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "43725",
"telephone_number": "740-680-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445071",
"telephone_number": "877-570-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DIANE",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP06886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.