MRS. MOLLY ANN BERGAMO (NPI# 1548664592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548664592 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY ANN BERGAMO |
| Credential | NP |
| Practice Address |
501 West 14th Street 3rd Floor Wilmington DE 19801-1012 |
| Practice Telephone | 3024282100 |
| Mailing Telephone | 2153441632 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN626519 | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | LG-0000892 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP014399 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 WEST 14TH STREET 3RD FLOOR |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715736 | Christiana Care Health Services Inc. | Internal Medicine | 501 West 14th Street, Wilmington, DE 19899 | 2006-01-26 |
| 1902301591 | Zoya Iqbaluddin | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-27 |
| 1821592197 | Andrew Christopher Young | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-21 |
| 1437547668 | Stephanie A Evans-mitchell | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1012 | 2014-12-22 |
| 1215362421 | Julia Jordan | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1013 | 2013-09-06 |
| 1609163971 | Vishesh Agarwal | Psychiatry & Neurology | 501 West 14th Street, Wilmington Hospital, 3rd Floor, Wilmington, DE 19801-1012 | 2011-07-07 |
| 1902126147 | Aaron Daniel Broderick | Dentist | 501 West 14th Street, Wilmington, DE 19899 | 2010-06-10 |
| 1124289905 | Etern S Park | Dentist | 501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, DE 19801-2200 | 2008-06-24 |
| 1346383486 | Amro H. Shihabi | Oral & Maxillofacial Surgery | 501 West 14th Street, Dept. of Oral & Maxillofacial Surgery, Wilmington, DE 19899 | 2007-02-15 |
| 1790848331 | Lynsey Ellen Brandt | Internal Medicine | 501 West 14th Street, Second Floor Health Center, Wilmington, DE 19801-1013 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| 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 |
|---|---|---|---|---|
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1932670734 | Crystal M Perry | Nurse Practitioner | 302 Shipley Rd Apt 701, Wilmington, DE 19809-3630 | 2018-12-06 |
| 1578072229 | Victoria A Varga | Nurse Practitioner | 900 Foulk Rd Ste 200, Wilmington, DE 19803-3155 | 2017-09-26 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1881083996 | Paradigm Healthcare Associates, Inc | Nurse Practitioner | 18 Kelso Ct, Wilmington, DE 19808-4307 | 2015-01-13 |
| 1003155623 | Geetanjali Chatterjee | Nurse Practitioner | 1400 N Washington St Ste 300, Wilmington, DE 19801-1024 | 2013-02-01 |
| 1437317518 | Allison Marie Thompson | Nurse Practitioner | 109 Monet Cir, Wilmington, DE 19808-1123 | 2008-05-27 |
| 1184820458 | Barbara E Harrison | Nurse Practitioner | 205 W. 14th Street, Suite 100a Swank Memory Care Center, Wilmington, DE 19801-0000 | 2007-06-25 |
| 1992924310 | Katherine Sawyer Mann | Nurse Practitioner | 1410 Commonwealth Dr Ste 100, Wilmington, NC 28403-0314 | 2007-04-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
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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.