CAROLINE LEIGH BERGSTRESSER (NPI# 1902201692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902201692 |
| Entity Type | Individual |
| Full Name | CAROLINE LEIGH BERGSTRESSER |
| Credential | WHNP |
| Practice Address |
97 Thomas Johnson Dr Ste 101 Frederick MD 21702 |
| Mailing Address |
8110 Maple Lawn Blvd Ste 235 Fulton MD 20759-2694 |
| Practice Telephone | 3016634545 |
| Practice Fax Number | 3016631709 |
| Mailing Telephone | 3013408339 |
| Mailing Fax Number | 3013409027 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R229355 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024171826 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1902201692 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 First Colonial Rd, Suite 100, Virginia Beach, VA 234542409 | 7574813366 | 7574963889 |
| 8900 Columbia 100 Pkwy Ste E, Columbia, MD 210452336 | 4433800060 |
| Street Address |
97 THOMAS JOHNSON DR STE 101 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780896183 | Jie Gao | Obstetrics & Gynecology | 97 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4379 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583093 | Tiffany Reynolds | Nurse Practitioner | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2019-05-15 |
| 1144437179 | Voye Lynne Stone | Nurse Practitioner | 1500 N Main St, Frederick, OK 73542-1421 | 2007-05-17 |
| 1538158316 | Elaine Marie Mennito | Nurse Practitioner | 350 Montevue Ln, Frederick, MD 21702-8214 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719307 | Truth Reproductive Health Services, LLC | Nurse Practitioner | 300 Rexburg Ave, Fort Washington, MD 20744-6103 | 2020-10-27 |
| 1992311013 | Beyond Well Woman & Associates, LLC | Nurse Practitioner | 17224 Teagues Point Rd, Hughesville, MD 20637-2803 | 2020-09-23 |
| 1275144099 | Brooke A Ellinger | Nurse Practitioner | 10750 Columbia Pike Ste 700, Silver Spring, MD 20901-4461 | 2020-08-14 |
| 1366053217 | Kristin Rae Porter | Nurse Practitioner | 127 Schoolhouse Rd, Sykesville, MD 21784-7132 | 2020-08-13 |
| 1376167478 | Tiffanye Chanelle Williams | Nurse Practitioner | 8900 Columbia 100 Pkwy Ste E, Columbia, MD 21045-2336 | 2020-06-04 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1073008157 | Alindell Sasha Francis | Nurse Practitioner | 5601 Loch Raven Blvd Ste 306, Baltimore, MD 21239-2945 | 2018-06-29 |
| 1619499647 | Crystal Marie Smith | Nurse Practitioner | 2401 Brandermill Blvd Ste 310, Gambrills, MD 21054-1604 | 2017-07-12 |
| 1154857811 | Christine Schlaerth | Nurse Practitioner | 1120 Old Westminster Rd, Westminster, MD 21157-6711 | 2017-05-02 |
| 1447627443 | Jennifer Lynn Delong | Nurse Practitioner | 8430 Stevens Rd, Owings, MD 20736-9162 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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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.