MONIQUE M. BERCES-MARDENLY (NPI# 1528207552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528207552 |
| Entity Type | Individual |
| Full Name | MONIQUE M. BERCES-MARDENLY |
| Credential | NP, MSN, MPH |
| Practice Address |
1345 Grand Ave Ste 103 Piedmont CA 94610-1074 |
| Practice Telephone | 5104284900 |
| Mailing Telephone | 5104284900 |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2014-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
18296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L AND I | 0276496 | 01 |
| WA | 1528207552 | 05 | |
| WA | RAILROAD MEDICARE | P01169704 | 01 |
| Street Address |
1345 GRAND AVE STE 103 |
| City | PIEDMONT |
| State | CA |
| Zip Code | 94610-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649530791 | Jackelynn Dao | Nurse Practitioner | 1345 Grand Ave Ste 103, Piedmont, CA 94610-1074 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809894 | Nana Bedua Tetteh | Nurse Practitioner | 178 Ash Nw, Piedmont, OK 73078-9769 | 2019-06-09 |
| 1992274724 | Nicoline Lami Edie | Nurse Practitioner | 11657 Nw 136th Ter, Piedmont, OK 73078-8777 | 2018-11-22 |
| 1811466998 | Katie Nimz | Nurse Practitioner | 13313 Outdoor Living Dr, Piedmont, OK 73078-5302 | 2018-11-18 |
| 1336684372 | Ashley Brunmaier | Nurse Practitioner | 8451 Winchester Ct, Piedmont, SD 57769-7127 | 2016-12-29 |
| 1952851297 | Katrina Unpingco | Nurse Practitioner | 1337 Grand Ave, Piedmont, CA 94610-1059 | 2016-10-11 |
| 1003967415 | Karen Van Leuven | Nurse Practitioner | 2 Greenbank Ave, Piedmont, CA 94611-4334 | 2007-01-13 |
| 1164081253 | Kendall Dorie | Nurse Practitioner | 206 Wall St, Piedmont, SC 29673-6754 | 2019-06-12 |
| 1124566104 | Leanne Michelle Holmes | Nurse Practitioner | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2017-02-09 |
| 1902280001 | Jasmine Wilson | Nurse Practitioner | 202 Wall St, Piedmont, SC 29673-6754 | 2015-07-17 |
| 1144614488 | Melissa Kaye Warmack | Nurse Practitioner | 1 Hals Plaza, Piedmont, MO 63957 | 2015-03-25 |
| Find all providers in PIEDMONT | ||||
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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.