Philip H Benitez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

139240-030 Issued in WI

Practice address

12603 W Needham Dr
New Berlin, WI 53151-1849

Phone

(262) 786-6229

NPI assigned

Aug 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1962717702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 W NEEDHAM DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511849",
            "telephone_number": "262-786-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 W NEEDHAM DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511849",
            "telephone_number": "262-786-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "PHILIP",
        "middle_name": "H",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "139240-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger William Beaumont, D.O.
• Rebecca Weiss Schultz Beck, M.D.
• Beeline Physical Therapy LLC
• Sabrina Belisle, RD
• Joseph Edward Bender, PTA
• Amber Frances Bentz
• Alexandra Lorraine Berge, D.O.
• Samantha Bergmann, BCBA
• Keith Bernard, M.D.
• Susan Bernstein, MD

• Registered Nurse in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.