MS. VICKI LYNNE BERG (NPI# 1033240098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033240098 |
| Entity Type | Individual |
| Full Name | MS. VICKI LYNNE BERG |
| Credential | RN |
| Practice Address |
701 Lewiston St. St. Mary's Hospital & Clinics Cottonwood ID 83522-0137 |
| Mailing Address |
Po Box 137 701 Lewiston St St. Mary's Hospital & Clinics Cottonwood ID 83522-0137 |
| Practice Telephone | 2089623267 |
| Practice Fax Number | 2089622313 |
| Mailing Telephone | 2089623267 |
| Mailing Fax Number | 2089622313 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
N-19516 | ID | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R59893 | NM | Nursing Service Providers |
| Street Address |
701 LEWISTON ST. ST. MARY'S HOSPITAL & CLINICS |
| City | COTTONWOOD |
| State | ID |
| Zip Code | 83522-0137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528194495 | Dean E Allen | Counselor | 701 Lewiston St., Orr Building, Cottonwood, ID 83522-9750 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689084659 | Denise Marie Nuxoll | Pharmacist | 429 Main, Cottonwood, ID 83522 | 2014-04-30 |
| 1376711416 | Sherry Lynn Riener | Midwife | 502 King Street, Cottonwood, ID 83522 | 2008-02-12 |
| 1629114905 | Cottonwood Jt Sch Dist | Local Education Agency (LEA) | 907 Lewiston Street, Cottonwood, ID 83522 | 2007-01-30 |
| 1902980121 | Arnzen Super Drug, Inc. | Pharmacy | 429 Main Street, Cottonwood, ID 83522 | 2006-10-24 |
| 1629047931 | John Douglas Trueblood | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522 | 2006-03-17 |
| 1124442421 | Carletta Jean Allen | Speech-Language Pathologist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-02-07 |
| 1376965319 | Jamie Scheffler | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-01-10 |
| 1639482888 | Scarlett Jo Uhlenkott | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522 | 2010-07-16 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1245433739 | St. Mary's Hospital | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-06-11 |
| Find all providers in zip 83522 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134694342 | Carol J Lawson | Registered Nurse | 294 W State Route 89a Ste 102, Cottonwood, AZ 86326-3763 | 2018-10-04 |
| 1164759379 | Rebecca S Kirk-ewing | Registered Nurse | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268637 | Laura Diane Hollingshead | Registered Nurse | 420 Adams Road, Orofino, ID 83544-8354 | 2017-07-19 |
| 1528481991 | Vicki Funaiole | Registered Nurse | 1126 W River St, Boise, ID 83702-7047 | 2014-01-21 |
| 1467762856 | Jenifer Shanon Conn | Registered Nurse | 1510 12th Avenue Rd Ste 200, Nampa, ID 83686 | 2010-10-19 |
| 1891948154 | Dorothy Henry | Registered Nurse | 144 N. Orchard Heights Way, Nampa, ID 83651-8344 | 2008-10-30 |
| 1255459798 | Judy Davis | Registered Nurse | 11194 W Highmont Dr, Boise, ID 83709-7703 | 2007-03-26 |
| 1205435757 | Ji Young An | Registered Nurse | 1226 W River St, Boise, ID 83702-7049 | 2020-10-25 |
| 1922506146 | Merri Ann King | Registered Nurse | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2018-01-23 |
| 1124547401 | Dorothy Plaza | Registered Nurse | 700 S Main St, Moscow, ID 83843-3056 | 2017-09-18 |
| 1386180578 | Tiffany Schenk | Registered Nurse | 1501 Hiland Ave, Suite H, Burley, ID 83318-2688 | 2017-01-11 |
| 1871042556 | Nancy Dettori | Registered Nurse | 100 Hospital Drive, Ketchum, ID 83340-0100 | 2016-09-23 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 83522 |
Please comment or provide details below to improve the information on MS. VICKI LYNNE BERG.
| 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.