NPI 1033892153 · live from the CMS NPI Registry
Shannon Benvenuti, CPNP
Nurse Practitioner, Pediatrics in Overland Park, KS. National Provider Identifier 1033892153, active.
NPI record
| NPI | 1033892153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5808 W 110th St, Overland Park, KS 66211 |
| Practice phone | 913-696-8000 |
| Mailing address | 2401 Gillham Rd, Kansas City, MO 64108 |
| Enumerated | August 8, 2023 |
| Last updated | September 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 53-82419-042 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.