JENNIFER ANNE BENEDICT (NPI# 1457303976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457303976 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE BENEDICT |
| Credential | FNP-C |
| Practice Address |
323 E Hawkins Pkwy Longview TX 75605-7905 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9035446780 |
| Practice Fax Number | 9035446799 |
| Mailing Telephone | 9035446780 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP113709 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | TIN PLUS 022 | 01 |
| TX | BCBS | 824N42 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417416553 | Jennifer Elizabeth Benedict | Specialist/Technologist | 130 Melody Ln, Spring Arbor, MI 49283-9709 | 2019-03-18 |
| 1912443862 | Jennifer Benedict | Massage Therapist | 282084 Us Highway 101, Port Townsend, WA 98368-9331 | 2017-01-17 |
| 1699967075 | Jennifer Lynn Benedict | Obstetrics & Gynecology | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-08-09 |
| Street Address |
323 E HAWKINS PKWY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515169 | Christina Ann Tinkler | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2005-06-02 |
| 1134744410 | Sara Elizabeth Hale | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-8153 | 2020-06-11 |
| 1730434168 | Kristen Mahurin | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2012-07-23 |
| 1174878540 | Candice Dean | Internal Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2012-07-20 |
| 1043472350 | Kraig A. Dekoker | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2008-06-27 |
| 1043329212 | David Edward Stanley | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-08-30 |
| 1568408649 | Eva Jamille Pierce | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-06-20 |
| 1720021280 | Diana Malone | Family Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2006-06-13 |
| 1285630558 | Rekha Reddy | Internal Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473893 | Kimberly Armstrong | Nurse Practitioner | 1104 Tiffany Ln, Longview, TX 75604-2803 | 2020-09-30 |
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1639542046 | Megan Wilder | Nurse Practitioner | 800 Padon St, Longview, TX 75601-6611 | 2015-11-06 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1780712257 | Jennifer Boynton | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601 | 2007-02-28 |
| 1528115755 | Melissa A Sutton | Nurse Practitioner | 709 Hollybrook Drive, Suite 2301, Longview, TX 75605-2411 | 2007-01-03 |
| 1811060874 | Mary Lucille Jansma | Nurse Practitioner | 600 N. Broadway, Longview, WA 98632-0302 | 2006-11-16 |
| 1164499661 | Linda C Boggs | Nurse Practitioner | 3211 N 4th St, Suite A, Longview, TX 75605-5145 | 2006-03-02 |
| 1104804582 | Libbie Sue Stokke | Nurse Practitioner | 911 W Loop 281 Ste 300, Longview, TX 75604-2934 | 2006-01-05 |
| 1801408547 | Jacquline D Jansen | Nurse Practitioner | 121 Gilmer Rd, Longview, TX 75604-4616 | 2020-08-22 |
| Find all providers in LONGVIEW | ||||
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| 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.