ELENITA BENITEZPENUELAS


Address: 2301 S Clear Creek Rd, Suite 226, Killeen, TX 76549-4143
Phone: 2546285454

ELENITA BENITEZPENUELAS (NPI# 1194258251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194258251
Entity Type Individual
Full Name ELENITA BENITEZPENUELAS
Credential NP-C
Practice Address 2301 S Clear Creek Rd
Suite 226
Killeen
TX 76549-4143
Mailing Address 2301 S Clear Creek Rd Ste 226
Killeen
TX 76549-4119
Practice Telephone 2546285454
Practice Fax Number 2546282729
Mailing Telephone 2546285454
Enumeration Date 2017-04-06
Last Update Date 2017-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP133616 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2301 S CLEAR CREEK RD
SUITE 226
City KILLEEN
State TX
Zip Code 76549-4143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275536781 Arturo Romero Obstetrics & Gynecology 2301 S Clear Creek Rd, Ste 208, Killeen, TX 76549-4143 2005-05-30
1891166161 Sandra Brown Nurse Practitioner 2301 S Clear Creek Rd, Suite 216, Killeen, TX 76549-4143 2015-10-13
1356751267 Valerie Elise Marten-ellis Optometrist 2301 S Clear Creek Rd, Suite 116, Killeen, TX 76549-4143 2014-04-30
1164763082 Raeshel Leanne Smith Nurse Practitioner 2301 S Clear Creek Rd, Ste 112, Killeen, TX 76549-4143 2013-03-04
1902142870 Robert H Hansen IIi Orthopaedic Surgery 2301 S Clear Creek Rd, Suite 204, Killeen, TX 76549-4119 2012-12-21
1689939183 Sukumar Mht Pllc Internal Medicine 2301 S Clear Creek Rd, Suite 112, Killeen, TX 76549-4143 2012-07-10
1598027880 Ernesto Malave Md Pa Family Medicine 2301 S Clear Creek Rd, Suite 108, Killeen, TX 76549-4143 2012-06-12
1417227075 Reba Ann Grovijohn Physician Assistant 2301 S Clear Creek Rd, Suite 206, Killeen, TX 76549-4143 2012-01-12
1154633071 Gabriel Orlando Colon-atencio Technician, Other 2301 S Clear Creek Rd, Ste. 126, Killeen, TX 76549-4143 2010-07-08
1295058295 Pablo Leonardo Md Pa Internal Medicine 2301 S Clear Creek Rd, Suite 202, Killeen, TX 76549-4143 2010-03-04
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NPI Name Taxonomy Address Enumeration
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1922507417 Family Endeavors, Inc. Community/Behavioral Health 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 2018-02-09
1285143859 Jennifer Dawn Rothman Behavioral Analyst 4506 The Searchers Dr, Killeen, TX 76549 2017-09-26
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1962025171 Shewana Spencer Nurse Practitioner 613 W Bluff St, Woodville, TX 75979-5125 2020-05-21
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Competitor

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City KILLEEN
Zip Code 76549

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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