MRS. ANGELA C BERG (NPI# 1023239514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023239514 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA C BERG |
| Credential | LPN |
| Practice Address |
1560 Wakerobin Ct. Walworth NY 14568 |
| Practice Telephone | 3159863963 |
| Mailing Telephone | 3159863963 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 242685-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02000195 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225169261 | Angela Christine Berg | Nurse Practitioner | 102 Mcpherson Ave, Lansing, MI 48915-1760 | 2007-03-09 |
| 1568845998 | Angela Berg | Nurse Practitioner | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2015-07-02 |
| 1164695540 | Angela Berg | Physical Therapist | 9441 Lbj Fwy Ste 101, Dallas, TX 75243-4566 | 2008-04-08 |
| Street Address |
1560 WAKEROBIN CT. |
| City | WALWORTH |
| State | NY |
| Zip Code | 14568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316308323 | Tina Fountaine | Registered Nurse | 1527 Aster Ter, Walworth, NY 14568 | 2016-03-18 |
| 1578847885 | Stephanie Anne Drake | Speech-Language Pathologist | 1500 Dayspring Drive, Walworth, NY 14568 | 2011-10-05 |
| 1891023792 | Melissa Ann Ihrig | Speech-Language Pathologist | 3217a Sherwood Dr, Walworth, NY 14568 | 2009-12-03 |
| 1730200700 | Dr. John Anthony Guerrieri | Dentist | 2100 Walworth Penfield Rd., Walworth, NY 14568 | 2007-04-03 |
| 1851407894 | John Anthony Guerrieri | Dentist | 2100 Walworth Penfield Rd, Walworth, NY 14568 | 2006-08-22 |
| 1477657849 | Thomas C. Stevens, D.d.s., P.C. | Dentist | 2100 Penfield Rd., Walworth, NY 14568-0029 | 2006-09-07 |
| 1609970086 | Thomas Cyriel Stevens | Dentist | 2100 Penfield Rd., Walworth, NY 14568-0029 | 2006-09-07 |
| 1225435613 | Sarah D Strickland | Licensed Practical Nurse | 3772 Walworth Ontario Rd, Walworth, NY 14568-9200 | 2014-12-01 |
| 1679858419 | Jill H York | Technician | 4200 Walworth Ontario Rd, Walworth, NY 14568-9209 | 2011-10-12 |
| 1568608412 | Western Wayne Ambulance, Inc. | Ambulance | 2178 Church St, Walworth, NY 14568-9306 | 2008-12-24 |
| Find all providers in zip 14568 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669969606 | Jennifer Patrice Cotterman | Licensed Practical Nurse | 3270 Wildflower Dr, Walworth, NY 14568-9404 | 2018-04-16 |
| 1275037863 | Stephanie Clintsman | Licensed Practical Nurse | Stephanie Clintsman 1688 Waterford Rd, Walworth, NY 14568-9422 | 2018-03-20 |
| 1649651696 | Omar Osmen | Licensed Practical Nurse | 3201 Sherwood Dr, Walworth, NY 14568-9569 | 2015-06-16 |
| 1225435613 | Sarah D Strickland | Licensed Practical Nurse | 3772 Walworth Ontario Rd, Walworth, NY 14568-9200 | 2014-12-01 |
| 1235418393 | Sandra Buskey | Licensed Practical Nurse | 3330 Evergreen Cir, Walworth, NY 14568-9428 | 2011-08-08 |
| 1205165768 | Kathryn J Hermann | Licensed Practical Nurse | 3248 Violet Cres, Walworth, NY 14568-9522 | 2009-12-12 |
| 1013155373 | Marcey J Merkley | Licensed Practical Nurse | 3356 Daansen Rd, Walworth, NY 14568-9315 | 2009-01-25 |
| 1275728065 | Sonya Lynn Shoemaker I | Licensed Practical Nurse | 4584 Ontario Center Rd, Walworth, NY 14568-9726 | 2007-09-13 |
| 1841484540 | Billie Jo Timmerman | Licensed Practical Nurse | 3621 Main St, Walworth, NY 14568-9507 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.