Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Katherine Benavidez, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1487545554

Mrs. Mary Katherine Benavidez, CPNP-PC is a Nurse Practitioner in Saltillo, Mississippi. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025

Practice location Address checks out

119 City Market Dr
Saltillo, MS 38866-7002
Phone: (662) 534-0898
Fax: (662) 534-8905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 Fairfield Dr, New Albany, MS 38652-3107 — (662) 534-0898

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 907261 (MS)

Record details

NPI number1487545554
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare