KATHERINE BERDELL (NPI# 1104065218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104065218 |
Entity Type | Individual |
Full Name | KATHERINE BERDELL |
Credential | P.A.-C |
Practice Address |
2121 E Harmony Rd Unit 170 Fort Collins CO 80528 |
Mailing Address |
2121 E Harmony Rd Unit 170 Fort Collins CO 80528-3413 |
Practice Telephone | 9704936337 |
Practice Fax Number | 9704933528 |
Mailing Telephone | 9704936337 |
Mailing Fax Number | 9704933528 |
Enumeration Date | 2009-02-12 |
Last Update Date | 2018-06-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.0005386 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA08433 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
013102 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2201 Inwood Rd, Seay Biomedical Building, Nb02.300, Dallas, TX 753908590 | 2146454673 |
Street Address |
2121 E HARMONY RD UNIT 170 |
City | FORT COLLINS |
State | CO |
Zip Code | 80528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720171267 | Caroline S. N. Young | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2006-10-02 |
1164030862 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-07-20 |
1033731138 | Poudre Valley Medical Group, LLC | General Practice | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-05-12 |
1831751536 | Kimberly Kinnear | Genetic Counselor, MS | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-07-02 |
1477112639 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-06-11 |
1497128243 | Allison Machan Faltermier | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1548633456 | Vincent Andrew Vidaurri | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1447622428 | Cara Harshberger | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-10-29 |
1982010104 | Alexi Rae Laursen | Nurse Practitioner | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2014-07-08 |
1285946525 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2010-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
Find all providers in zip 80528 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801883525 | Andrea J Bieganski | Physician Assistant | 1120 E Elizabeth St # F-101, Fort Collins, CO 80524-4044 | 2005-09-29 |
1285041723 | Todd Bryce | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-16 |
1467869115 | Amy Lynn Lagreca | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2014-07-15 |
1497000590 | Danielle Marie Talbert | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-07-16 |
1902162688 | Kathryn Grace Lundy | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-04-06 |
1932402666 | Travis A Babcock | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2010-12-20 |
1265636872 | Matthew R. Crawford | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2007-06-14 |
1417054099 | Nancy A. Mcrae | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-09-17 |
1033153275 | Servando Gutierrez | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-06-16 |
1740243138 | Amy Kennedy Romero | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-04-08 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80528 |
Please comment or provide details below to improve the information on KATHERINE BERDELL.
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.