| NPI | 1184676025 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-17 |
| Last Updated | 2020-09-09 |
| Mailing Address | 3376 Fiddle Leaf Way Lakeland, FL 33811-3001 United States Phone: (863) 602-8174 📍 View Map |
| Primary Practice Address | 930 Marcum Rd Ste 5 Lakeland, FL 33809-4308 United States Phone: (863) 940-4886 | Fax: (863) 816-5769 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 306599500 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207P00000X – Emergency Medicine | FL | ARNP9164847 |
| No | 363L00000X – Nurse Practitioner | FL | 9164847 |
| Yes | 363LF0000X – Nurse Practitioner, Family | FL | APRN9164847 |
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About NPI 1184676025
Demetra Bennett NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184676025. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Lakeland, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184676025?
NPI 1184676025 belongs to Demetra Bennett NP, a Nurse Practitioner, Family in Lakeland, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184676025 active?
The current status of NPI 1184676025 in the NPPES registry is Active. The record was last updated on 2020-09-09.
What specialty is NPI 1184676025?
NPI 1184676025 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184676025?
You can verify NPI 1184676025 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184676025?
The primary practice address on file for NPI 1184676025 is 930 Marcum Rd Ste 5, Lakeland, FL 33809-4308. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184676025 issued?
NPI 1184676025 was first issued (enumerated) on 2006-05-17. The NPPES record was last updated on 2020-09-09.
Practice Location Map
Demetra Bennett is located at 930 Marcum Rd Ste 5, Lakeland, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Demetra Bennett. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184676025. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Emergency Medicine | ARNP9164847 | FL |
| Nurse Practitioner | 9164847 | FL |
| Nurse Practitioner, Family | APRN9164847 | FL |