RICHARDEAN BENJAMIN (NPI# 1124473038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124473038 |
Entity Type | Individual |
Full Name | RICHARDEAN BENJAMIN |
Credential | NP |
Practice Address |
3300 Academy Ave Portsmouth VA 23703-3205 |
Practice Telephone | 7574836404 |
Practice Fax Number | 7574830737 |
Mailing Telephone | 7574836404 |
Mailing Fax Number | 7574830737 |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0017142664 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3300 ACADEMY AVE |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-3205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
1598219214 | Angel Marie Williams-kent | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-08-10 |
1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
1821421454 | Riverside Physician Services Inc | Psychologist | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2013-08-19 |
1568715613 | Melissa Gilbert Gomes | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2012-10-25 |
1558687954 | Tiffany Davis | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2010-04-12 |
1578728820 | Eileen P Pietila | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2008-07-26 |
1760412183 | Lana Tucker Williams | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-07-03 |
1821032079 | Martha A Jones | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
Find all providers in zip 23703 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
1144856063 | Sara Cornwell Lundberg | Nurse Practitioner | 29 Dighton Ave, Portsmouth, RI 02871-5512 | 2020-03-23 |
1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23703 |
Please comment or provide details below to improve the information on RICHARDEAN BENJAMIN.
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.