KIMBERLY LYNN BERG


Address: 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697
Phone: 6512415290

KIMBERLY LYNN BERG (NPI# 1255353843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255353843
Entity Type Individual
Full Name KIMBERLY LYNN BERG
Credential NP
Practice Address 225 Smith Ave N Ste 201
Saint Paul
MN 55102-2697
Practice Telephone 6512415290
Practice Fax Number 6512415248
Mailing Telephone 6512415290
Mailing Fax Number 6512415248
Enumeration Date 2006-07-24
Last Update Date 2011-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R 123060-4 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY BERG

NPI Name Taxonomy Address Enumeration
1053694604 Kimberly Marie Berg Student in an Organized Health Care Education/Training Program 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 2011-09-20
1962438960 Kimberly Berg Family Medicine 1380 Tullar Rd, Neenah, WI 54956-4440 2006-06-23

Office Location

Street Address 225 SMITH AVE N STE 201
City SAINT PAUL
State MN
Zip Code 55102-2697

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386251817 Erin Grimley Social Worker 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2020-09-29
1538664149 Laurie Jorgensen Nurse Practitioner 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2018-03-26
1811442205 Kelly Van Dyke Physician Assistant 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2016-08-16
1942614136 Kristen Stark Social Worker 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2014-06-16
1417386186 Megan Schmittdiel Physician Assistant 225 Smith Ave N Ste 201, Saint Paul, MN 55102 2013-11-04
1184970691 Saraswathi Bhadrareddy Nurse Practitioner 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2012-08-02
1912264086 Jessica Lee Winslow Psychiatry & Neurology 225 Smith Ave N Ste 201, Saint Paul, MN 55102 2012-04-13
1861629578 Heidi Currier Pediatrics 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2009-06-20
1902092091 Kinshuk Sahaya Psychiatry & Neurology 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2007-09-21
1023227162 Paul Brian Atkinson Psychiatry & Neurology 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 2007-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538644562 Angela Ashton Nurse Practitioner 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 2018-09-25
1558865295 Meghan Kerry Deyo Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-19
1811323348 Karen Kay Hoyer Nurse Practitioner 310 Smith Ave N Ste 480, Saint Paul, MN 55102 2013-09-16
1043323678 Kimmy S Oberstar Nurse Practitioner 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 2006-08-17
1194788810 Janet Lowe Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-11
1184236739 Anna Rauch Nurse Practitioner 200 University Ave E, Saint Paul, MN 55101-2507 2020-08-17
1699334904 Jessica Determan Nurse Practitioner 205 Wabasha St S, Saint Paul, MN 55107-1805 2019-06-10
1104388644 Cassandra Hoshor Nurse Practitioner 345 Smith Ave N, Saint Paul, MN 55102-2346 2019-04-03
1083191522 Ikran Omar Hussein Nurse Practitioner 345 Smith Ave N, Saint Paul, MN 55102-2346 2018-07-27
1578067039 Alison Beth Wohlhuter Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-20
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Competitor

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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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