KIMBERLY BERGERON


Address: 3611 N Campbell Ave, Tucson, AZ 85719-1534
Phone: 5208810636

KIMBERLY BERGERON (NPI# 1275867590) 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) 1275867590
Entity Type Individual
Full Name KIMBERLY BERGERON
Credential FNP
Practice Address 3611 N Campbell Ave
Tucson
AZ 85719-1534
Mailing Address 1250 S Clearview Ave Ste 100
Mesa
AZ 85209-3378
Practice Telephone 5208810636
Practice Fax Number 5208810637
Mailing Telephone 4809889108
Mailing Fax Number 4808134460
Enumeration Date 2009-09-21
Last Update Date 2015-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP3404 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 465975 05
MEDICARE PTAN Z169168 01

Other Providers KIMBERLY BERGERON

NPI Name Taxonomy Address Enumeration
1609177161 Kimberly Bergeron Physician Assistant 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 2010-11-15
1629051966 Kimberly G. Bergeron Obstetrics & Gynecology 730 Cool Springs Blvd, Franklin, TN 37067-7289 2005-11-21
1043291370 Kimberly C Bergeron Allergy & Immunology 1622 Westgate Cir, Brentwood, TN 37027-8019 2005-11-14

Office Location

Street Address 3611 N CAMPBELL AVE
City TUCSON
State AZ
Zip Code 85719-1534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275503328 David J. Orringer Emergency Medicine 3611 N Campbell Ave, Urgent Care Extra, Tucson, AZ 85719-1534 2006-01-23
1437621067 Banner Urgent Care Services, LLC Clinic/Center 3611 N Campbell Ave, Tucson, AZ 85719-1534 2018-12-20
1629593751 Angela Prokop Cohen Nurse Practitioner 3611 N Campbell Ave, Tucson, AZ 85719-1534 2017-08-09
1437428729 Jennifer Alexa Fimbres Nurse Practitioner 3611 N Campbell Ave, Tucson, AZ 85719-1534 2011-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649813635 Ishani Ravindra Deo Psychologist 1051 E Mabel St, Tucson, AZ 85719 2019-10-22
1235793100 Jacquelyn Christine Wagner Pediatrics 1625 N Campbell, Tucson, AZ 85719 2019-04-26
1831652189 Derek Allan Hatfield Emergency Medicine 1625 N Campbell Ave., Tucson, AZ 85719 2019-04-12
1053874305 Travis Patrick Martin Emergency Medicine 1625 N. Campbell Ave, Tucson, AZ 85719 2019-04-12
1245793504 Martin Cisneroz Emergency Medicine 1625 North Campbell Avenue, Tucson, AZ 85719 2019-04-12
1174086722 Sarah Joy Ring Emergency Medicine 1625 N. Campbell Ave., Tucson, AZ 85719 2019-04-10
1790245520 Akash M Doshi Student in an Organized Health Care Education/Training Program 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 2019-03-20
1942773668 Jeffery Roy Small Massage Therapist 3607 N Vine, Tucson, AZ 85719 2019-01-04
1114434180 Elizabeth Irene Welch Behavioral Analyst 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 2017-12-29
1477076255 Medavail Pharmacy Inc. Pharmacy 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 2017-07-24
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164023339 Flor Avila Fimbres Nurse Practitioner 5418 W Placita Del Risco, Tucson, AZ 85745-9550 2020-11-04
1225637184 Amy Chan Matchett Nurse Practitioner 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 2020-10-21
1851924179 Sip Home Systems - Tucson LLC Nurse Practitioner 7620 N Hartman Ln Ste 162, Tucson, AZ 85743-7484 2020-02-14
1538710330 Emily Dantes Nurse Practitioner 1671 W Ina Rd Ste 101, Tucson, AZ 85704-1928 2019-09-23
1669939641 Arlly Regoso Nurse Practitioner 2830 N Swan Rd Ste 180, Tucson, AZ 85712-6301 2019-02-26
1457829004 Niyatiben Patel Nurse Practitioner 6814 S Twinberry Dr, Tucson, AZ 85756-5152 2018-11-12
1568959807 Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr Nurse Practitioner 11069 N Mountain Breeze Dr, Tucson, AZ 85737 2018-04-20
1932613957 Betty Jean Blangsted Nurse Practitioner 7840 E Calle De La Escarpa, Tucson, AZ 85750-2313 2017-11-29
1194173112 O'neill Medical Group, P.C. Nurse Practitioner 11177 N Oracle Rd Apt 10302, Tucson, AZ 85737-5651 2016-05-31
1023470069 Deanna Collier Nurse Practitioner 8610 E Old Spanish Trl Apt 117, Tucson, AZ 85710-4328 2016-03-28
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Competitor

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City TUCSON
Zip Code 85719

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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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