Ida Wallace Bennett Family Health Corporation
NPI 1417085697 · Nurse Practitioner · Deerfield Beach, FL
Ida Wallace Bennett Family Health Corporation is a Nurse Practitioner organization in Deerfield Beach, FL (NPI 1417085697).
Provider details
- NPI number
- 1417085697
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Pamela Johnson, President(561) 900-6737
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Ida Wallace Bennett Family Corporation
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2013-07-16
Frequently asked questions
- What is Ida Wallace Bennett Family Health Corporation's NPI number?
- Ida Wallace Bennett Family Health Corporation's National Provider Identifier (NPI) is 1417085697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ida Wallace Bennett Family Health Corporation?
- Ida Wallace Bennett Family Health Corporation is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ida Wallace Bennett Family Health Corporation located?
- Ida Wallace Bennett Family Health Corporation's practice location on file with NPPES is 331 N Deerfield Ave, Deerfield Beach, FL 33441-2028.
- What is Ida Wallace Bennett Family Health Corporation's phone number?
- The practice phone number listed in the NPPES registry for Ida Wallace Bennett Family Health Corporation is (561) 900-6737.
- Who is the authorized official for Ida Wallace Bennett Family Health Corporation?
- The authorized official listed on Ida Wallace Bennett Family Health Corporation's NPPES record is Pamela Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ida Wallace Bennett Family Health Corporation's NPI active?
- Yes — Ida Wallace Bennett Family Health Corporation's NPI (1417085697) is active in the NPPES registry as of the last update on 2013-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.