Individual Healthcare Provider
Mary Taylor Benson
Provider's NPPES record last updated: June 17, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043602147
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Lakeport, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:12 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(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.
Taxonomy code 363L00000X Clinical Nurse Specialist
Family Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SF0001XNurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- APRN.CNP.0041364
- Clinical Nurse Specialist (Mississippi)
- R863948
- Nurse Practitioner (California)
- NP95010828
- Nurse Practitioner (Washington)
- AP60909312
- Nurse Practitioner (Connecticut)
- 8067
Practice Locations
Practice Location
987 Parallel Dr Ste C
Lakeport, California 95453-5708
Phone: (707) 262-5088
Additional Practice Location
1251 Lewis River Rd Ste D
Woodland, Washington 98674-9203
Phone: (360) 225-4310
Fax: (360) 225-4309
Additional Practice Location
8740 Orion Pl Ste 100
Columbus, Ohio 43240-4063
Phone: (614) 300-5913
Additional Practice Location
85 Lafayette St
New Britain, Connecticut 06051-1803
Phone: (860) 347-6971
Fax: (860) 638-6831
Additional Practice Location
300 Nissan Dr
Canton, Mississippi 39046-8562
Phone: (601) 855-8426
Additional Practice Location
5196 Hill Rd E Ste 300
Lakeport, California 95453-6374
Phone: (916) 263-6885
Record Information
- Enumeration Date
- February 26, 2015
- Provider's NPPES Record Last Updated
- June 17, 2026
- Certification Date
- June 17, 2026
- NPISignal NPPES Dataset
- August 2026
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