Active NPI
Renee Bennett
- School Registered Nurse
- Brooklyn, NY
National Provider Identifier
1992016596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 5289961
- Practice address
- 5455 Kings Hwy
Apt 5F
Brooklyn, NY 11203-6040 - Phone
- (347) 789-4107
- NPI assigned
- Jun 29, 2010
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 5289961 | NY | Primary |
Addresses
Primary practice location
5455 Kings Hwy
Apt 5F
Brooklyn, NY 11203-6040
Mailing address
5455 Kings Hwy
Apt 5F
Brooklyn, NY 11203-6040
Phone (347) 789-4107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5289961 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1992016596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 KINGS HWY",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112036040",
"telephone_number": "347-789-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 KINGS HWY",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112036040",
"telephone_number": "347-789-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "5289961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.