JUSTIN BAINES BENNETT NPI 1174293138

NPI Information

  • NPI: 1174293138
  • Provider Name: JUSTIN BAINES BENNETT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4314 WILLIAMSTOWN PIKE
    WILLIAMSTOWN, WV
    ZIP 26187
  • Phone: (304) 482-6029

Map and Directions

Get Directions

NPI Details

Justin Baines Bennett is a family nurse practitioner in Williamstown, WV with 5 years of experience. Justin Baines Bennett NPI is 1174293138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4314 WILLIAMSTOWN PIKE
WILLIAMSTOWN, WV
ZIP 26187-083
Phone: (304) 482-6029

The NPI 1174293138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome HealthRN.385551OHIONo
2207Q00000XFamily MedicineLE-00038485OHIONo
3363LF0000XNurse PractitionerFamily110892WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI