ERICA BENAVIDES — NPI 1205319589 (Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers

CMS-1500 Box 24J / 33a • NPI

1205319589

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

247200000X (CMS 75)

Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other

Box 32 Service Location & ZIP+4

6211 SOUTHWEST BLVD, BENBROOK, TX, 76132-1080

✓ 9-Digit EDI 837 ZIP+4 (76132-1080)

Practice Phone & Referral Fax

(817) 249-8100

Fax: (817) 249-2215

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205319589 (ERICA BENAVIDES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205319589` (NPI-1 Individual Practitioner)
Provider / Legal Name	ERICA BENAVIDES
Plain-English Specialty	Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other NUCC Code: `247200000X` (Technician, Other)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6211 SOUTHWEST BLVD, BENBROOK, TX, 76132-1080
Practice Telephone / Fax	Tel: (817) 249-8100 \| Fax: (817) 249-2215
Administrative Mailing Address	3100 PREMIER DR STE 234, IRVING, TX, 75063-2693
Enumeration & Last Sync	Enumerated: 2018-09-12 \| CMS Record Updated: 2018-09-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6211 SOUTHWEST BLVD, BENBROOK, TX, 76132-1080

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Plain-English Taxonomy & CMS Crosswalk (247200000X)

What Does Taxonomy Code 247200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247200000X translates to:
"Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 75 (Slide Preparation Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Other for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ERICA BENAVIDES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`247200000X` — Technician, Other Plain English: Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other	State: TX \| License: `RBT-18-62807` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ERICA BENAVIDES (NPI #1205319589)