MS. REBECCA J. BERMAN (NPI# 1174684476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174684476 |
| Entity Type | Individual |
| Full Name | MS. REBECCA J. BERMAN |
| Credential | MSN, APRNBC |
| Practice Address |
715 W Main St Ste S Jenks OK 74037-3553 |
| Practice Telephone | 9187450501 |
| Practice Fax Number | 9187479778 |
| Mailing Telephone | 9187450501 |
| Mailing Fax Number | 9187479778 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R0068308 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200094890A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 E 21st St, Tulsa, OK 741141958 | 9187450501 | 9187479778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140939 | Rebecca Berman | Registered Nurse | 38 Old White Lake Turnpike, Swan Lake, NY 12783 | 2019-02-13 |
| 1083047385 | Rebecca Michelle Berman | Nurse Practitioner | 6034 Ne Sandy Blvd, Portland, OR 97213-3963 | 2013-08-10 |
| 1891130050 | Rebecca Lee Berman | Dietitian, Registered | 5061 North Pulaski Rd., Chicago, IL 60630-2706 | 2013-05-01 |
| 1073787313 | Rebecca Frances Berman | Social Worker | 2501 N Glebe Rd, Suite 303, Arlington, VA 22207-3558 | 2008-04-17 |
| 1770633661 | Rebecca Berman | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2007-01-11 |
| 1508930728 | Rebecca Berman | Dietitian, Registered | 4847 Fred Gladstone Dr, West Palm Beach, FL 33417-8023 | 2006-11-20 |
| 1346258647 | Rebecca Berman | Advanced Practice Midwife | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-03 |
| Street Address |
715 W MAIN ST STE S |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395327 | Lisa E Hart | Pediatrics | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2005-12-01 |
| 1861954984 | Donna Jean Mosier | Registered Nurse | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2019-04-06 |
| 1518338490 | Carol Voigtlander | Nurse Practitioner | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2015-10-17 |
| 1831462894 | Jenna Lee Musgrove | Physician Assistant | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2012-02-21 |
| 1720252182 | Osu Center for Health Sciences | Clinic/Center | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2008-04-16 |
| 1518063932 | Gerald Don Wootan | Family Medicine | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083954416 | Tara E Byrom | Nurse Practitioner | 11911 S Oak St, Jenks, OK 74037-2667 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
| 1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
| 1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
| 1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
| 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.