Mary Taylor Benson
Mary Taylor Benson is a Nurse Practitioner in Lakeport, California. Qualified in 2022, 4 years ago. Practices with Sutter Lakeside Home Medical Services, a 21-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in California, Connecticut, Mississippi and Ohio and 1 more.
- Years since qualifying
- 4
- Licensed in
- CA, CT, MS, OH, WA
- In the registry since
- 2015
- Specialties on file
- 5
Practice location Address checks out
987 Parallel Dr Ste CLakeport, CA 95453-5708
Phone: (707) 262-5088
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (5)
- 5196 Hill Rd E Ste 300, Lakeport, CA 95453-6374 — (916) 263-6885
- 85 Lafayette St, New Britain, CT 06051-1803 — (860) 347-6971
- 300 Nissan Dr, Canton, MS 39046-8562 — (601) 855-8426
- 8740 Orion Pl Ste 100, Columbus, OH 43240-4063 — (614) 300-5913
- 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 — (360) 225-4310
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN.CNP.0041364 (OH) |
|---|---|
| Family Health Clinical Nurse Specialist | Taxonomy 364SF0001X · Licence R863948 (MS) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence NP95010828 (CA) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence AP60909312 (WA) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 8067 (CT) |
Record details
| NPI number | 1043602147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2015 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 1010 Mint Springs Rd, Terry, MS 39170-8778 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Sutter Lakeside Home Medical Services — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |