CHRISTINA D BENGE (NPI# 1376038752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376038752 |
| Entity Type | Individual |
| Full Name | CHRISTINA D BENGE |
| Credential | FNP |
| Practice Address |
8505 Old Dairy Rd Juneau AK 99801-6921 |
| Mailing Address |
10045 County Road 133 Kaufman TX 75142-4759 |
| Practice Telephone | 9077904111 |
| Mailing Telephone | 4693239407 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
145976 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | REGISTERED NURSE | 727992 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17101 Dallas Pkwy, Addison, TX 750017103 | 4692483900 |
| Street Address |
8505 OLD DAIRY RD |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235819 | Norvin Perez | Emergency Medicine | 8505 Old Dairy Rd, Juneau, AK 99801-8042 | 2005-09-12 |
| 1073679015 | William Jenell Collier II | Dentist | 8505 Old Dairy Rd, Suite 201, Juneau, AK 99801-8042 | 2006-12-27 |
| 1841386117 | Southeast Urgent Care Incorporated | Clinic/Center | 8505 Old Dairy Rd, Juneau, AK 99801-8042 | 2006-10-05 |
| 1669571477 | Robert Warren Haight | Family Medicine | 8505 Old Dairy Rd, Juneau, AK 99801-6921 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477012805 | Harbor Health, LLC | Nurse Practitioner | 2201 Dunn St Ste 1, Juneau, AK 99801-9480 | 2019-03-15 |
| 1689024051 | Juneau Quick Care | Nurse Practitioner | 1015 Edwin Pl, Juneau, AK 99801-9553 | 2016-06-16 |
| 1336406149 | Zelda Swain | Nurse Practitioner | 641 W Willoughby Ave Ste 201, Juneau, AK 99801-1748 | 2012-04-18 |
| 1316058720 | Matthew Jon Jones | Nurse Practitioner | 3220 Hospital Dr Ste 100, Juneau, AK 99801-7899 | 2006-08-31 |
| 1245287861 | Justine Emerson | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2006-05-28 |
| 1104476282 | Bailey Alexandra Rahn | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2019-09-19 |
| 1033605175 | Kaitlyn Bausler | Nurse Practitioner | 641 W Willoughby Ave Ste 201, Juneau, AK 99801-1748 | 2018-07-01 |
| 1093239279 | Holly Ann Graber | Nurse Practitioner | 420 W North St, Juneau, WI 53039-1165 | 2017-07-31 |
| 1437671039 | Sarah Keeley Sjostedt | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2017-07-14 |
| 1255871034 | Casey Ploof | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2017-02-28 |
| Find all providers in JUNEAU | ||||
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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.