Deirdre L Bennett, NP, CNM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81541 Issued in ME

Practice address

22 Bramhall St
Maine Medical Center - Internal Medicine Clinic
Portland, ME 04102-3134

Phone

(207) 662-2911

Fax

(207) 662-6308

NPI assigned

Aug 1, 2006

Last updated

Feb 13, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1952318339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEE AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063520",
            "telephone_number": "207-767-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "address_2": "MAINE MEDICAL CENTER - INTERNAL MEDICINE CLINIC",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2911",
            "fax_number": "207-662-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DEIRDRE",
        "middle_name": "L",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81541",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM82024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda L Benner, LCSW
• Meredith A Bennet, MD
• Caroline Bennett, RDN, LD
• Christine A Bennett, MD
• Debra Lyn Bennett, RDH
• Jean C Bennett, LCSW
• Johanna Kathleen Bennett, CRNA
• Kathleen E Bennett, M.S., CF -SLP
• Mary Bennett, LCSW
• Michael Bennett, DMD

• Family Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.