JULIANNA M BERGKAMP (NPI# 1679704845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679704845 |
| Entity Type | Individual |
| Full Name | JULIANNA M BERGKAMP |
| Credential | ARNP |
| Practice Address |
818 N Emporia St Suite 403 Wichita KS 67214-3729 |
| Practice Telephone | 3162624467 |
| Practice Fax Number | 3162620706 |
| Mailing Telephone | 3162624467 |
| Mailing Fax Number | 3162620706 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TEMPORARY | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
818 N EMPORIA ST SUITE 403 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116835 | Duane L Osborne | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2005-07-07 |
| 1053727800 | Tracy D Smith | Nurse Practitioner | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2014-07-01 |
| 1336401082 | Aaron Nilhas | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2012-06-08 |
| 1205164282 | Bernard T. Poole, Md, Pa | Orthopaedic Surgery | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2009-12-02 |
| 1609004316 | Amanda M Valliant | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2009-07-01 |
| 1730320367 | Kathy Ornelas | Specialist/Technologist, Other | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2009-03-11 |
| 1437316387 | Ronnie K Moussa | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2008-05-19 |
| 1104025949 | Wissam Saliba | Internal Medicine | 818 N Emporia St, Wichita, KS 67214-3729 | 2007-07-12 |
| 1528263043 | Jeremy Deutsch | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2007-06-15 |
| 1114120466 | Mayssa Zayat | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583584 | Ann Ncekei Wairagu | Nurse Practitioner | 347 S Laura Ave, Wichita, KS 67211-1518 | 2020-03-20 |
| 1376012849 | Laura Elizabeth Fulbrook | Nurse Practitioner | 1358 S Sierra Hills St, Wichita, KS 67230-7548 | 2018-11-14 |
| 1013494467 | Andrea Stafford | Nurse Practitioner | 1491 N Coolidge Ave, Wichita, KS 67203-2982 | 2018-07-27 |
| 1467712570 | Vitalcare Medical Practice | Nurse Practitioner | 1302 S Auburn Hills St, Wichita, KS 67235-3422 | 2012-05-22 |
| 1801877295 | Jodene R. Thach | Nurse Practitioner | 7200 W 13th St N, Suite 5, Wichita, KS 67212-2970 | 2005-11-11 |
| 1386282655 | Erica L Roach | Nurse Practitioner | 818 N Emporia St Ste 310, Wichita, KS 67214-3727 | 2019-12-17 |
| 1194114249 | Erin Whittredge-smith | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2015-01-13 |
| 1316342710 | Christel Hartman | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2014-10-28 |
| 1396089199 | Mary Jane Clements-bailey | Nurse Practitioner | 5500 E Kellogg, Wichita, KS 67218 | 2012-11-16 |
| 1437443488 | Advanced Mobile Healthcare, LLC | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2011-06-07 |
| Find all providers in WICHITA | ||||
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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.