1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Nurse Practitioner
  6. NPI Profile

TASHINA BENNETT
NPI 1124662655
Nurse Practitioner in Saint Louis, MO

Active since October 28, 2019
4066 DUNNICA AVE, SAINT LOUIS, MO 63116(636) 224-1700 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Oct 28, 2019 (2 updates tracked since 2019).

About Tashina Bennett NPPES

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

TASHINA BENNETT (NPI 1124662655) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Illinois (B53080186695) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1124662655
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTASHINA BENNETT
Location Address4066 DUNNICA AVESaint Louis, MO 63116-3510
Mailing Address118 N 2nd St Ste 200Saint Charles, MO 63301-2894 · (636) 224-1224
Phone(636) 224-1700
Sole ProprietorNo
Enumeration DateOctober 28, 2019
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1124662655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · B53080186695
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4066 DUNNICA AVE, Saint Louis, MO 63116
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAH NELSON
Registered Nurse
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
ANGELA COLLINS
Registered Nurse
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1230
JEAN SOKORA MSW, LCSW
Social Worker (Clinical)
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
SAMANTHA A HARRIS LMSW
Social Worker (Clinical)
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
ANITA B POLZIN MA, LPC
Counselor (Professional)
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
VICTOR ANTOINO BROWDER RN
Registered Nurse
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
HAMPTON CHANDLER RN
Registered Nurse
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1700
CRYSTAL PETERSON
Licensed Practical Nurse
4066 DUNNICA AVE
SAINT LOUIS, MO 63116
St. Louis City (636) 224-1230

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 Tashina Bennett's NPI number?

The NPI number for Tashina Bennett is 1124662655. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Tashina Bennett located?

Tashina Bennett practices at 4066 Dunnica Ave, Saint Louis, MO 63116. The listed phone number is (636) 224-1700.

What is Tashina Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tashina Bennett was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.