Active NPI
Linda B. Piacentine, NP
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1992967186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 108656
- Practice address
- 1155 N Mayfair Rd
Milwaukee, WI 53226-3421 - Phone
- (414) 805-3666
- NPI assigned
- Jun 28, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 108656 | WI | Primary |
Addresses
Primary practice location
1155 N Mayfair Rd
Milwaukee, WI 53226-3421
Mailing address
10000 W Innovation Dr
Third Floor
Milwaukee, WI 53226-4837
Phone (414) 456-5006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992967186 | Medicaid | WI |
Other names 1
- Ms. Linda L. Benton
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108656 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1992967186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 W INNOVATION DR",
"address_2": "THIRD FLOOR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264837",
"telephone_number": "414-456-5006",
"fax_number": "414-456-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263421",
"telephone_number": "414-805-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIACENTINE",
"first_name": "LINDA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-28",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "108656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992967186",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "BENTON",
"middle_name": "L.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.