SHANNON BERTSCH (NPI# 1770908741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770908741 |
| Entity Type | Individual |
| Full Name | SHANNON BERTSCH |
| Practice Address |
902 Jacksonville Rd Burlington NJ 08016-3814 |
| Practice Telephone | 6092393845 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 46TR00639900 | NJ | Other Service Providers |
| Street Address |
902 JACKSONVILLE RD |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205859 | Masonic Charity Foundation of New Jersey | Skilled Nursing Facility | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2005-09-19 |
| 1194334870 | Independent Geriatric Professionals of Nj PC | Hospitalist | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2020-07-28 |
| 1811455496 | Andrea Valente | Social Worker | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2019-03-04 |
| 1144703471 | Rosemary Fox | Occupational Therapist | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2018-09-12 |
| 1316431240 | Independent Geriatric Professionals | Internal Medicine | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2018-06-14 |
| 1518481910 | Kori Hubbard | Occupational Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3846 | 2017-07-28 |
| 1659819183 | Caitlin Caruso | Physical Therapist | 902 Jacksonville Rd, Burlington, NJ 08016-3846 | 2017-02-03 |
| 1336595636 | Chadd Coles | Physical Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-05-05 |
| 1689020042 | Cindi Mcdonald | Occupational Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-05-04 |
| 1821443862 | Amanda Duncan | Specialist/Technologist | 902 Jacksonville Rd, Burlington, NJ 08016-3814 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287414 | Prevention Diagnostics Services LLC | Specialist | 6114 S Nc Highway 62, Burlington, NC 27215-9296 | 2016-06-29 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1164810552 | Jean Minton | Specialist | 3018 S Fairway Dr, Burlington, NC 27215-4631 | 2015-01-07 |
| 1669886362 | Diane Rodgers | Specialist | 323 Pearl St, Suite 101, Burlington, VT 05401-8567 | 2014-06-20 |
| 1386083749 | Deanna Shepherd Woody | Specialist | 415 Willie Pace Rd, Burlington, NC 27217-7533 | 2013-06-19 |
| 1609211309 | L & J Homes, Inc. | Specialist | 803 Elizabeth Street, Burlington, NC 27217-2545 | 2013-05-08 |
| 1073755955 | Courtney Elisabeth Williams | Specialist | 121 S Spruce St, Burlington, WA 98233-1718 | 2009-03-24 |
| 1720248255 | Sally A Macfadyen | Specialist | 15 Ludwig Court, Burlington, VT 05401-4163 | 2008-06-09 |
| 1356522049 | Tanya Rene Larson | Specialist | 120 N. Oak St, Burlington, WA 98233 | 2007-11-21 |
| 1972784676 | Bonnie Blankenship | Specialist | 325 E George Hopper Rd Ste 106, Burlington, WA 98233-3154 | 2007-11-21 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
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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.