BARBARA JEAN BODLE-PEDERSEN (NPI# 1457571028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457571028 |
| Entity Type | Individual |
| Full Name | BARBARA JEAN BODLE-PEDERSEN |
| Other Name | BARBARA JEAN BODLE |
| Credential | MSN, MPH, FNP |
| Practice Address |
2222 Bancroft Ave. Berkeley CA 94720-4300 |
| Mailing Address |
77 Franciscan Way Kensington CA 94707-1112 |
| Practice Telephone | 5106437117 |
| Mailing Telephone | 5105259206 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 293413, 3383 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE, NP | 293413, 3383 | 01 |
| Street Address |
2222 BANCROFT AVE. |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760788038 | Uhs At California Berkely Tang Center | Clinic/Center | 2222 Bancroft Ave., Berkeley, CA 94720-4300 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1225201353 | Thomas J Cutillo | Nurse Practitioner | 3000 Colby St 201, Berkeley, CA 94705-2058 | 2008-04-09 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1265582969 | Alice Cannan | Nurse Practitioner | 2915 Telegraph Ave Ste 200, Berkeley, CA 94705-2030 | 2007-01-12 |
| 1619077278 | Susan Light | Nurse Practitioner | University of California 2222bancroft Way, Berkeley, CA 94720-0001 | 2006-09-24 |
| 1891195806 | Journey Meadows | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2014-08-27 |
| 1548605587 | Virgilio Y Baluyut | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2013-05-03 |
| 1740552850 | Aryn L Earnhardt | Nurse Practitioner | 2850 Telegraph Ave Ste 110, Berkeley, CA 94705-1159 | 2012-02-04 |
| 1164667549 | Alexis R Chettiar | Nurse Practitioner | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2008-12-12 |
| 1841456811 | Kristina Ryan | Nurse Practitioner | 2031 6th St, Berkeley, CA 94710-2006 | 2008-07-30 |
| Find all providers in BERKELEY | ||||
Please comment or provide details below to improve the information on BARBARA JEAN BODLE-PEDERSEN.
| 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.