Individual provider Active NPI

Ma Aimee Baradero Benigno, MSN, NNP-BC, RNC-NIC

  • Neonatal Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982995585
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
122866 Issued in AZ
Practice address
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone
(602) 277-4161
Fax
(602) 266-3481
NPI assigned
Apr 29, 2011
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 122866 AZ Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X NP20670 CA

Addresses

Primary practice location

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476

Mailing address

3351 E Joseph Way
Gilbert, AZ 85295-2106
Phone (480) 656-6021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000687 AZ Order and Referring Only - Nurse Practitioner 1557502283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
122866AZMDNeonatal Nurse Practitioner
NP20670CAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neonatology Associates, LTD Neonatal Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Neonatal Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1982995585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 E JOSEPH WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952106",
            "telephone_number": "480-656-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "602-277-4161",
            "fax_number": "602-266-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGNO",
        "first_name": "MA AIMEE",
        "middle_name": "BARADERO",
        "name_prefix": "Mrs.",
        "credential": "MSN, NNP-BC, RNC-NIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "122866",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "NP20670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.