Roderick Bennett

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4038 Gap Rd
Knoxville, TN 37912-5903

Phone

(423) 790-4950

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• The Solution Source LLC

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1114100955
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1982942041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHLAND AVE NW",
            "address_2": "APT A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111812",
            "telephone_number": "423-310-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125903",
            "telephone_number": "423-790-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RODERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Mitchell Bennett
• Mary Alison Bennett
• Melissa Ann Bennett, DVM
• Rachael Brooke Bennett, PHARM D.
• Robert Bennett
• Susan U Bennett, CRNA
• Denise Benoit
• Charles Daniel Benson, MD
• Dennell Elizabeth Benson
• Amanda Lee Bentley

• Case Manager/Care Coordinator in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.