JENNA BERG (NPI# 1821514530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821514530 |
| Entity Type | Individual |
| Full Name | JENNA BERG |
| Credential | MS CCC-SLP |
| Practice Address |
6400 Uptown Blvd Ne Albuquerque NM 87110-4202 |
| Mailing Address |
Po Box 25704 Albuquerque NM 87125-0704 |
| Practice Telephone | 5058559893 |
| Practice Fax Number | 5058489468 |
| Mailing Telephone | 5058559893 |
| Mailing Fax Number | 5058489468 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6208 | NM | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265978282 | Jenna Norene Berg | Specialist/Technologist | 20523 Kalmeadow Ct, Lakeville, MN 55044-6705 | 2017-01-14 |
| 1821561531 | Jenna Berg | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-01-04 |
| 1801387345 | Jenna C Berg | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2018-05-21 |
| 1578868071 | Jenna S. Berg | Dietitian, Registered | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2011-01-14 |
| 1124282561 | Jenna Lynn Berg | Case Manager/Care Coordinator | 77 W 5th Ave, Denver, CO 80204-5102 | 2008-07-15 |
| Street Address |
6400 UPTOWN BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376606798 | Albuquerque Public School Board of Education | Local Education Agency (LEA) | 6400 Uptown Blvd Ne, Suite 360w, Albuquerque, NM 87110-4204 | 2006-12-18 |
| 1609422161 | Rowena Fuller | Social Worker | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2019-08-12 |
| 1669027363 | Shiow-ching Hou | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2019-08-08 |
| 1770050643 | Shelley Rivera | Physical Therapist | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-10-30 |
| 1467928499 | Anna Hartman | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-10-17 |
| 1922588375 | Mary Holm | Occupational Therapist | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-08-15 |
| 1336649367 | Jennifer Taylor | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-16 |
| 1144720574 | Thomas Panzlau | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-12 |
| 1154820645 | Trisha Novak | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-09 |
| 1093214637 | Joyce Denoyer | Registered Nurse | 6400 Uptown Blvd Ne, Albuquerque, NM 87110-4202 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1083245427 | Jacquelyn Garcia | Speech-Language Pathologist | 1127 Univ Blvd Ne, Albuquerque, NM 87102-1740 | 2020-02-03 |
| 1346882842 | Amy Taylor Neel | Speech-Language Pathologist | Msc01 1195 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-10-16 |
| 1770141590 | Valentina Hardison | Speech-Language Pathologist | 5924 Anaheim Ave Ne Ste B, Albuquerque, NM 87113-1879 | 2019-06-05 |
| 1629530506 | Hyuna Kim | Speech-Language Pathologist | 1839 Kelso Ct Se, Albuquerque, NM 87123-2291 | 2019-04-01 |
| 1588135586 | Holly E Stewart | Speech-Language Pathologist | 10321 Oakland Ave Ne, Albuquerque, NM 87122-3931 | 2018-12-17 |
| 1376038588 | Maja Erika Whitaker | Speech-Language Pathologist | 9600 Peralta Rd Ne, Albuquerque, NM 87109-6360 | 2018-06-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on JENNA 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.