TANISHA BENTON
NPI 1104775048
Licensed Practical Nurse in Lake Charles, LA

Active since January 23, 2026
5391 WEAVER RD, LAKE CHARLES, LA 70605(337) 564-9009(337) 270-5603 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tanisha Benton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANISHA BENTON (NPI 1104775048) is an individual licensed practical nurse in Lake Charles, Louisiana, licensed in Louisiana (20172411) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1104775048
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTANISHA BENTON
Location Address5391 WEAVER RDLake Charles, LA 70605-5245
Mailing Address5391 Weaver RdLake Charles, LA 70605-5245 · (337) 564-9009 · Fax (337) 270-5603
Fax(337) 270-5603
Sole ProprietorNo
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1104775048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in LA · 20172411
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5391 WEAVER RD, Lake Charles, LA 70605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanisha Benton's NPI number?

The NPI number for Tanisha Benton is 1104775048. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Tanisha Benton located?

Tanisha Benton practices at 5391 Weaver Rd, Lake Charles, LA 70605. The listed phone number is (337) 564-9009.

What is Tanisha Benton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tanisha Benton was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.