DIANE E BERGERON (NPI# 1306018148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306018148 |
| Entity Type | Individual |
| Full Name | DIANE E BERGERON |
| Credential | NP |
| Practice Address |
1111 Medical Plaza Dr 250 The Woodlands TX 77380-3240 |
| Mailing Address |
Po Box 8307 The Woodlands TX 77387-8307 |
| Practice Telephone | 2812968788 |
| Practice Fax Number | 2814191291 |
| Mailing Telephone | 2812968788 |
| Mailing Fax Number | 2814191291 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2010-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
626794 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 154240902 | 05 | |
| TX | 193009102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285985135 | Diane Janece Bergeron | Counselor | 336 Overton Dr, Norman, OK 73071-3227 | 2012-10-01 |
| 1437328622 | Diane Irene Bergeron | Occupational Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2008-02-21 |
| Street Address |
1111 MEDICAL PLAZA DR 250 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77380-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700932 | Fadi G Ghanem | Family Medicine | 1111 Medical Plaza Dr, Suite 230, The Woodlands, TX 77380-3477 | 2005-09-16 |
| 1255889630 | U S Anesthesia Partners of Texas | Anesthesiology | 1111 Medical Plaza Dr, Suite 250, The Woodlands, TX 77380-3476 | 2016-09-14 |
| 1568825974 | Heather Marie Robinson | Nurse Practitioner | 1111 Medical Plaza Dr, Suite 250, The Woodlands, TX 77380-3476 | 2016-04-02 |
| 1457749590 | Hdk Enterprises LLC | Pharmacy | 1111 Medical Plaza Dr, Suite 160, The Woodlands, TX 77380-3476 | 2014-12-23 |
| 1326452632 | William Paulo | Dentist | 1111 Medical Plaza Dr, Suite 100, The Woodlands, TX 77380-3476 | 2014-06-13 |
| 1780011544 | Nilesh N Kotecha Md Pllc | Physician Assistant | 1111 Medical Plaza Dr, Suite 200, The Woodlands, TX 77380-3476 | 2013-10-10 |
| 1043646581 | Audra J Dear | Registered Nurse | 1111 Medical Plaza Dr, Suite 250, The Woodlands, TX 77380-3476 | 2013-09-16 |
| 1699101121 | Toni Marie Curl | Registered Nurse | 1111 Medical Plaza Dr, Suite 250, The Woodlands, TX 77380-3476 | 2013-09-16 |
| 1811338981 | Mfc Medsurg Group LLC | Family Medicine | 1111 Medical Plaza Dr, Suite #230a, The Woodlands, TX 77380-3477 | 2013-07-17 |
| 1487916680 | Haniyeh Kasmai | Family Medicine | 1111 Medical Plaza Dr, Suite 250, The Woodlands, TX 77380 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428745 | Beverly J Hickman | Nurse Practitioner | 2002 Timberloch Pl Ste 150, The Woodlands, TX 77380-1198 | 2018-02-28 |
| 1114257995 | Margaret Louise Cecil | Nurse Practitioner | 17400 St Lukes Way, The Woodlands, TX 77384-8036 | 2009-12-30 |
| 1104359819 | Debbie Arenstein | Nurse Practitioner | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77380 |
Please comment or provide details below to improve the information on DIANE E BERGERON.
| 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.