ALEXIS PUEDAN BERGEMANN (NPI# 1578045738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578045738 |
| Entity Type | Individual |
| Full Name | ALEXIS PUEDAN BERGEMANN |
| Credential | FNP-C |
| Practice Address |
1542 Deer Point Way Reston VA 20194-1590 |
| Practice Telephone | 7034712822 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176369 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1542 DEER POINT WAY |
| City | RESTON |
| State | VA |
| Zip Code | 20194-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1992949887 | Katherine Margaret M. Wendell | Registered Nurse | 11609 Deer Forest Rd, Reston, VA 20194-1104 | 2009-04-23 |
| 1922582790 | Pamela Anne Marie Williams | Nurse's Aide | 11731 Summerchase Cir Apt D, Reston, VA 20194-1141 | 2018-09-18 |
| 1760773303 | Maureen Patricia Wait | Occupational Therapist | 11706 Great Owl Cir, Reston, VA 20194-1175 | 2011-05-01 |
| 1114934650 | Mark E Franke | Emergency Medicine | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-08-01 |
| 1912930264 | Giant of Maryland LLC | Pharmacy | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-07-09 |
| 1972104669 | Ruth Gebremicael | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-08 |
| 1922609825 | Tamara Cohen | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-06 |
| 1558923060 | Pranee Chanthavongsa Smarsh | Nurse Practitioner | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2019-07-03 |
| Find all providers in zip 20194 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1033736525 | Kathleen Judge Bowie | Nurse Practitioner | 1650 Parkcrest Cir Apt 300, Reston, VA 20190-4941 | 2020-06-30 |
| 1386268613 | Nicole Christine Cash | Nurse Practitioner | 1860 Town Center Dr Ste 150&160, Reston, VA 20190-5896 | 2020-06-02 |
| 1821631748 | Kyler Philbin | Nurse Practitioner | 1850 Town Center Pkwy Ste 314, Reston, VA 20190-3300 | 2019-10-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1821500521 | Brittany Beczkiewicz Harris | Nurse Practitioner | 12018 Sunrise Valley Dr Ste 400, Reston, VA 20191-3434 | 2017-11-02 |
| 1568982601 | Stephanie Dean Richards | Nurse Practitioner | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2017-06-20 |
| 1114454196 | Renee Hadeed | Nurse Practitioner | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-05-22 |
| 1467796177 | William Joseph Cauley Jr. | Nurse Practitioner | 1109 Saffold Way, Us Government Employee, Reston, VA 20190-3816 | 2012-11-19 |
| 1033381074 | Inga Marler | Nurse Practitioner | 12103 Stirrup Rd, Reston, VA 20191-2103 | 2008-03-31 |
| Find all providers in RESTON | ||||
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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.