MELISSA BERGFELD (NPI# 1376638858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376638858 |
| Entity Type | Individual |
| Full Name | MELISSA BERGFELD |
| Credential | APRN |
| Practice Address |
17 Case Street Norwich CT 06360 |
| Practice Telephone | 8608862461 |
| Practice Fax Number | 8608878530 |
| Mailing Telephone | 8608862461 |
| Mailing Fax Number | 8608878530 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
003126 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
003126 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004249307 | 05 |
| Street Address |
17 CASE STREET |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942394408 | Sandra S Kress | Nurse Practitioner | 17 Case Street, Norwich, CT 06360 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548655038 | Tania Richard | Nurse Practitioner | 17 Eastwood Rd, Groton, CT 06340-6010 | 2015-04-01 |
| 1710230842 | Lenore Ann Leone | Nurse Practitioner | 500 Old Farms Rd, Avon, CT 06001-2716 | 2012-10-26 |
| 1669571428 | Mary Jean Walker | Nurse Practitioner | 300 Western Boulevard, Glastonbury, CT 06033 | 2006-09-21 |
| 1992802037 | Adele Silhavy | Nurse Practitioner | 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 | 2006-09-20 |
| 1902912827 | Elizabeth Jensen | Nurse Practitioner | 120 Simsbury Rd Ste B, Avon, CT 06001-3735 | 2006-08-22 |
| 1578590485 | Jean E. Mackay | Nurse Practitioner | 67 Hickory Hill Road, Simsbury, CT 06070 | 2006-06-27 |
| 1083687057 | Jeanne Bedard | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-02-09 |
| 1710963483 | Karen Marie Wunderlich | Nurse Practitioner | 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 | 2005-12-15 |
| 1467628016 | Jean D Vulte | Nurse Practitioner | 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 | 2008-05-05 |
| 1477766202 | Timothy M Barczak Md LLC | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2007-05-08 |
| 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.