Active NPI
Natasha Bienaime, NP
- Nurse Practitioner
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9328569
- 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
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 |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9328569 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Good Health PC, Inc. | Current | Accepting new patients | |
| P3 Health Partners-Oregon LLC | Nurse Practitioner | Current | Accepting new patients |
| Greater Good Health PC, Inc. | Nurse Practitioner | Current | Accepting new patients |
| P3 Medical Group PC | Nurse Practitioner | Current | 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.
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.