MRS. SANDRA BERARDY (NPI# 1003965450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003965450 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA BERARDY |
| Credential | AP RN |
| Practice Address |
75 Route 2 Mashantucket Pequot Indian Health Services Ledyard CT 06339 |
| Mailing Address |
24 Baldwin Ct Uncasville CT 06382-1833 |
| Practice Telephone | 8603128000 |
| Practice Fax Number | 8603128036 |
| Mailing Telephone | 8608487309 |
| Mailing Fax Number | 8603128036 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 001034 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
001034 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | APRN | 001034 | 01 |
| Street Address |
75 ROUTE 2 MASHANTUCKET PEQUOT INDIAN HEALTH SERVICES |
| City | LEDYARD |
| State | CT |
| Zip Code | 06339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508140922 | Mashantucket Pequot Tribal Council | Family Medicine | 75 Route 2, Ledyard, CT 06339-1128 | 2011-10-04 |
| 1508170556 | Mashantucket Pequot Tribal Nation Health Center | Clinic/Center | 75 Route 2, Ledyard, CT 06339-1128 | 2010-08-02 |
| 1366561508 | Patricia A Dubose | Internal Medicine | 75 Route 2, Ledyard, CT 06339-1128 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404728 | Michael Christopher Kendig | Veterinarian | 5 Lorenz Industrial Parkway, Ledyard, CT 06339 | 2012-11-29 |
| 1720342850 | Alyson King Gannon | Physician Assistant | 2 Lorenz Pkwy, Backus Health Center, Ledyard, CT 06339 | 2012-07-03 |
| 1265798524 | Kenneth Warren Berdeen II | Occupational Therapy Assistant | 220 Haley Rd, Ledyard, CT 06339 | 2012-04-11 |
| 1427257054 | Caitlyn Elizabeth Ogilvie | Social Worker | 24 Gallup Hill Rd, Ledyard, CT 06339 | 2007-07-13 |
| 1013093434 | Joy Holistic Counseling LLC | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2006-10-27 |
| 1972687952 | Linda R Kronick | Dentist | 77 Salem Turnpike, Suite 112, Norwich, CT 06339 | 2006-10-25 |
| 1245225887 | Town of Ledyard | Ambulance | 741 R Col Ledyard Highway, Ledyard, CT 06339 | 2005-09-20 |
| 1841338332 | Barbara Jean Savage | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2007-02-05 |
| 1134192420 | Joel Patrick Larose | Nurse Anesthetist, Certified Registered | 2 Oak Hills Trl, Ledyard, CT 06339-1234 | 2006-02-08 |
| 1790785905 | Jay Clark Hans | Audiologist | 7 Coachman Pike, Ledyard, CT 06339-1305 | 2005-07-29 |
| Find all providers in zip 06339 | ||||
| Taxonomy Code | 364SC1501X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Community Health/Public Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710068341 | Colleen E. Mellen | Clinical Nurse Specialist | 80 Seymour Street, Hartford Hospital Urogynecology, Hartford, CT 06102 | 2006-10-18 |
Please comment or provide details below to improve the information on MRS. SANDRA BERARDY.
| 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.