MS. DEBORAH B BERG (NPI# 1376602391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376602391 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH B BERG |
| Credential | RD, LDN |
| Practice Address |
3604 Bush St Raleigh NC 27609-7511 |
| Mailing Address |
1025 Cedarhurst Dr Raleigh NC 27609-5415 |
| Practice Telephone | 9198767807 |
| Practice Fax Number | 9198768823 |
| Mailing Telephone | 9198788198 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
L001653 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PERFORMING PROVIDED NUMBE | 2994338 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615523 | Deborah A Berg | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-07 |
| 1144547316 | Deborah Berg | Dietitian, Registered | 333 W Cork St, Winchester, VA 22601-3870 | 2010-04-28 |
| 1124216668 | Deborah L Berg | Speech-Language Pathologist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2007-10-10 |
| Street Address |
3604 BUSH ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797049 | Wake Nephrology Associates, P.a. | Specialist | 3604 Bush St, Raleigh, NC 27609-7511 | 2005-06-01 |
| 1770901993 | Sarah Mistrot | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2014-04-03 |
| 1508299777 | Shannon Joan Clark | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2013-08-12 |
| 1568718336 | Nanci Jacqulyn Sullivan-blackert | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2012-07-31 |
| 1699069948 | Robert Edward Olivo | Internal Medicine | 3604 Bush St, Raleigh, NC 27609-7511 | 2011-06-03 |
| 1679885107 | Lori Michelle Haskins | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2010-07-13 |
| 1780796508 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-08-31 |
| 1386752228 | Jacqueline Suzanne Sebastian | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-08-29 |
| 1366470791 | Donna Antonia Theodore | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-28 |
| 1689612442 | Jessica J Oneill | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114391018 | Janet Williams | Dietitian, Registered | 8081 Arco Corporate Dr Ste 130, Va Dialysis Clinic At Brier Creek, Raleigh, NC 27617-2042 | 2015-11-17 |
| 1023200193 | Marsha C. Lilly | Dietitian, Registered | 2101 Rangecrest Rd, Raleigh, NC 27612-6922 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993149 | Elizabeth Allred | Dietitian, Registered | 315 Kimberly Rd, Davidson, NC 28036-8554 | 2019-10-14 |
| 1407300312 | Linda Gross | Dietitian, Registered | 4917 Golfview Ct, Mint Hill, NC 28227-9238 | 2016-08-09 |
| 1619325529 | Laurie Reiriz | Dietitian, Registered | 2823 Westfield Rd, Charlotte, NC 28209-1641 | 2016-06-01 |
| 1932440807 | Holly J Rode | Dietitian, Registered | 200 Jamestown Oaks Dr, Jamestown, NC 27282-8933 | 2013-03-02 |
| 1003111279 | Naomi Stuart | Dietitian, Registered | 1507 Hammersmith Dr, Winterville, NC 28590-7061 | 2011-01-20 |
| 1154509552 | Amanda Williams Robertson | Dietitian, Registered | 1404 4th St Nw, Hickory, NC 28601-2446 | 2008-02-07 |
| 1629386578 | Margaret Harum | Dietitian, Registered | 2113 Neuse Blvd, New Bern, NC 28560-4309 | 2010-09-14 |
Please comment or provide details below to improve the information on MS. DEBORAH B 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.