Individual provider Active NPI

Natasha Bienaime, NP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1982121646
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9328569 Issued in FL
Practice address
1018 SW Facet Ave
Port St Lucie, FL 34953
Phone
(954) 857-8007
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9328569 FL Primary

Addresses

Primary practice location

1018 SW Facet Ave
Port St Lucie, FL 34953

Mailing address

1018 SW Facet Ave
Port St Lucie, FL 34953-6787
Phone (954) 857-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180619002665 CA Practitioner - Nurse Practitioner 9830444629 Reassigns benefits to 1 organization
I20250618004162 OR Practitioner - Nurse Practitioner 9830444629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9328569FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. CurrentSince Jan 12, 2026 Accepting new patients
P3 Health Partners-Oregon LLC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Greater Good Health PC, Inc. Nurse Practitioner CurrentSince Jan 12, 2026 Accepting new patients
P3 Medical Group PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients

Locations

300 Continental Blvd
Ste 635
El Segundo, CA 90245
Phone (310) 658-3775

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

3190 State St
Ste 102
Medford, OR 97504
Phone (541) 537-8007

1813 W Harvard Ave
Ste 434
Roseburg, OR 97471
Phone (541) 440-5320

171 NW Medical Loop
Ste 12
Roseburg, OR 97471
Phone (458) 299-9089

2525 12th St SE
Ste 260
Salem, OR 97302
Phone (971) 239-0001

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982121646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 SW FACET AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536787",
            "telephone_number": "954-857-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 SW FACET AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "954-857-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENAIME",
        "first_name": "NATASHA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9328569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.