ELIZABETH CLAIRE BERGERON (NPI# 1457973570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457973570 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLAIRE BERGERON |
| Practice Address |
7784 Innovation Park Dr Baton Rouge LA 70820-7006 |
| Mailing Address |
119 Acadia Point Dr Thibodaux LA 70301-5069 |
| Practice Telephone | 2253434232 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274963 | Elizabeth Fremin Bergeron | Speech-Language Pathologist | 1401 Renee Dr, Thibodaux, LA 70301-3948 | 2019-06-13 |
| 1225486616 | Elizabeth Bergeron | Technician/Technologist | 235 Queen St, Southington, CT 06489-1915 | 2016-05-26 |
| 1205125697 | Elizabeth Bergeron | Counselor | 5965 S 900 E # 430, Salt Lake City, UT 84121-1720 | 2011-04-06 |
| Street Address |
7784 INNOVATION PARK DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70820-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447450929 | Baton Rouge Speech and Hearing Foundation, Inc | Durable Medical Equipment & Medical Supplies | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2007-07-23 |
| 1053910828 | Bailey S Hagan | Occupational Therapist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-10-22 |
| 1962019489 | Nicole Sicomo | Behavioral Analyst | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-09-29 |
| 1003421082 | Franziska Noacklesage | Psychologist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-09-15 |
| 1518578087 | Jocelyne Olguin | Occupational Therapist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-08-10 |
| 1326657677 | Yvette Furr | Behavioral Analyst | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-07-23 |
| 1417579301 | Erin Mann Mccleary | Speech-Language Pathologist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-05-13 |
| 1962024851 | Jasmine Littles | Occupational Therapist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-05-13 |
| 1972132785 | Taylor Anne Woodworth | Occupational Therapist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2020-04-03 |
| 1558915280 | Lethu Thi Nguyen | Speech-Language Pathologist | 7784 Innovation Park Dr, Baton Rouge, LA 70820-7006 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285942 | Lucas Patin | Specialist/Technologist | 449 Ben Hur Rd., Apt. 4311, Baton Rouge, LA 70820 | 2018-12-03 |
| 1851882302 | Khourtni Rose Fears | Counselor | 1134 W Lee Dr Apt B, Baton Rouge, LA 70820 | 2018-05-21 |
| 1013405646 | St Gabriel Health Clinic, Inc | Clinic/Center | 7800 Innovation Dr, Baton Rouge, LA 70820 | 2018-04-30 |
| 1972965325 | Reginald Knox | Non-emergency Medical Transport (VAN) | 1481 Lila Street, Baton Rouge, LA 70820 | 2016-03-24 |
| 1124480058 | Asha Marie Vyas | Counselor | 4000 Lake Beau Pre Blvd Apt 66, Baton Rouge, LA 70820 | 2016-03-21 |
| 1316317449 | Connor Alleman | Student in an Organized Health Care Education/Training Program | 1984 Brightside Dr. Apt#215, Baton Rouge, LA 70820 | 2015-10-01 |
| 1699151456 | Lynn Dirks | Physical Therapist | 6307 Hope Estate Dr, Baton Rouge, LA 70820 | 2015-08-04 |
| 1609258839 | Emily Heitman | Student in an Organized Health Care Education/Training Program | 2819 Three Oaks Avenue, Baton Rouge, LA 70820 | 2015-06-24 |
| 1811397854 | Maria E Garcia-giese | Speech-Language Pathologist | 6040 Belle Grove Dr, Baton Rouge, LA 70820 | 2014-08-27 |
| 1740606763 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9326 Burbank Dr, Baton Rouge, LA 70820 | 2014-03-14 |
| Find all providers in zip 70820 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953160 | Ryne Michael Smith | Student in an Organized Health Care Education/Training Program | 4124 Lake Limestone Ct, Baton Rouge, LA 70816-6409 | 2020-08-21 |
| 1649881251 | Adam Yarochowicz | Student in an Organized Health Care Education/Training Program | 1385 Crescent Dr, Baton Rouge, LA 70806-8612 | 2020-08-17 |
| 1487265021 | Annadora Janet Bruce-keller | Student in an Organized Health Care Education/Training Program | 6324 Morgan Bend Dr, Baton Rouge, LA 70820-2002 | 2020-08-16 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1235758939 | Nicole Ashley Lecoq | Student in an Organized Health Care Education/Training Program | 12636 E Sheraton Ave, Baton Rouge, LA 70815-6838 | 2020-04-13 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1477180487 | Samantha Steve Grigus | Student in an Organized Health Care Education/Training Program | 6224 Belle Grove Dr, Baton Rouge, LA 70820-5020 | 2020-03-27 |
| 1851928147 | Joel Byrne | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr Fl 5, Baton Rouge, LA 70808-4791 | 2020-03-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70820 |
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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.