Carolyn Annette Bennett, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-168339 Issued in AL

Practice address

Ralph H Johnson VA Medical Center
109 Bee Street
Charleston, SC 29401-5799

Phone

(912) 408-2946

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1972120871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGELAND FARMS RD W",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361056750",
            "telephone_number": "912-321-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RALPH H JOHNSON VA MEDICAL CENTER",
            "address_2": "109 BEE STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015799",
            "telephone_number": "912-408-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CAROLYN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-168339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ALTA",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Ralph H Johnson VA Medical Center",
            "address_2": "109 Bee Street",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294015799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph John Benich III, MD
• Andreana Benitez, PHD
• Kathleen Brannon Benjamin, OTR L
• Scott Evan Benjamin, M.D.
• Merve Benli
• Cierra Christine Bennett, CRNA
• Heidi L Bennett, R.N.
• Jacob Alan Bennett
• Jeffery Rusten Bennett, MD
• Jennifer Bennett, MA, MA, LPCI

• Registered Nurse in Charleston, SC
• Providers in Charleston, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.