KIMBERLY LYNN BERG (NPI# 1255353843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255353843 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNN BERG |
| Credential | NP |
| Practice Address |
225 Smith Ave N Ste 201 Saint Paul MN 55102-2697 |
| Practice Telephone | 6512415290 |
| Practice Fax Number | 6512415248 |
| Mailing Telephone | 6512415290 |
| Mailing Fax Number | 6512415248 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R 123060-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694604 | Kimberly Marie Berg | Student in an Organized Health Care Education/Training Program | 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 | 2011-09-20 |
| 1962438960 | Kimberly Berg | Family Medicine | 1380 Tullar Rd, Neenah, WI 54956-4440 | 2006-06-23 |
| Street Address |
225 SMITH AVE N STE 201 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251817 | Erin Grimley | Social Worker | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2020-09-29 |
| 1538664149 | Laurie Jorgensen | Nurse Practitioner | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2018-03-26 |
| 1811442205 | Kelly Van Dyke | Physician Assistant | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2016-08-16 |
| 1942614136 | Kristen Stark | Social Worker | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2014-06-16 |
| 1417386186 | Megan Schmittdiel | Physician Assistant | 225 Smith Ave N Ste 201, Saint Paul, MN 55102 | 2013-11-04 |
| 1184970691 | Saraswathi Bhadrareddy | Nurse Practitioner | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2012-08-02 |
| 1912264086 | Jessica Lee Winslow | Psychiatry & Neurology | 225 Smith Ave N Ste 201, Saint Paul, MN 55102 | 2012-04-13 |
| 1861629578 | Heidi Currier | Pediatrics | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2009-06-20 |
| 1902092091 | Kinshuk Sahaya | Psychiatry & Neurology | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2007-09-21 |
| 1023227162 | Paul Brian Atkinson | Psychiatry & Neurology | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1811323348 | Karen Kay Hoyer | Nurse Practitioner | 310 Smith Ave N Ste 480, Saint Paul, MN 55102 | 2013-09-16 |
| 1043323678 | Kimmy S Oberstar | Nurse Practitioner | 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 | 2006-08-17 |
| 1194788810 | Janet Lowe | Nurse Practitioner | 360 Colborne St, Saint Paul, MN 55102-3228 | 2006-04-11 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| 1578067039 | Alison Beth Wohlhuter | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-20 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on KIMBERLY LYNN 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.