MS. KERRY JEANNE ROGERS (NPI# 1588734859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588734859 |
Entity Type | Individual |
Full Name | MS. KERRY JEANNE ROGERS |
Other Name | MS. KERRY JEANNE HEIN |
Practice Address |
2222 Bancroft Ext Berkeley CA 94720-4303 |
Mailing Address |
279 Castle Hill Ranch Rd Walnut Creek CA 94595-2738 |
Practice Telephone | 5106422000 |
Mailing Telephone | 9259359563 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
262915 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA NUMBER | MR0581290 | 01 |
CA | NP FURNISHING NUMBER | 5428 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437785169 | Kerry Rogers | Counselor | 1045 9th Ave, San Diego, CA 92101-5504 | 2020-03-13 |
1659534246 | Kerry Anne Rogers | Internal Medicine | 460 W 10th Ave, 406c #1 Starling-loving Hall, Columbus, OH 43210-1240 | 2008-07-03 |
Street Address |
2222 BANCROFT EXT |
City | BERKELEY |
State | CA |
Zip Code | 94720-4303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295720936 | Jeffrey Donald Nelson | Family Medicine | 2222 Bancroft Ext, University Health Service- Clinical Services, Berkeley, CA 94720-4303 | 2005-09-19 |
1003013269 | Jillian Margaret Chelson | Physician Assistant | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
1871790030 | Laura Ortiz Guillen | Psychologist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-29 |
1710182944 | Susan Lynn Rode | Social Worker | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-06-18 |
1245441237 | Mary K Popylisen | Physical Therapist | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-05-24 |
1407074032 | Elise Patricia Eichenberg | Internal Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-04-20 |
1922132885 | Karen Hipkins | Nurse Practitioner | 2222 Bancroft Ext, #4300, Berkeley, CA 94720-4300 | 2007-03-15 |
1922135649 | Robert Edward Stuart | Obstetrics & Gynecology | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2007-02-28 |
1952459240 | Diane Liu | Preventive Medicine | 2222 Bancroft Ext, Berkeley, CA 94720-4300 | 2007-01-05 |
1073677613 | Christina Susanne Wilmer | Optometrist | 2222 Bancroft Ext, Berkeley, CA 94720-4303 | 2006-12-20 |
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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 | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
1295210995 | Brian Christopher Vassalo | Nurse Practitioner | 1528 Woolsey St Apt D, Berkeley, CA 94703-2353 | 2018-09-27 |
1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
1275063323 | Alice Mak | Nurse Practitioner | 3154 College Ave Apt 2, Berkeley, CA 94705-2747 | 2017-06-12 |
1174996839 | Niccole Blanchet | Nurse Practitioner | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2015-11-03 |
1497996953 | Tamra Leigh Groode | Nurse Practitioner | 2701 Martin Luther King Jr Way, Berkeley, CA 94703-2165 | 2009-03-13 |
1306066576 | Gretchen Leslie Meyer | Nurse Practitioner | 2016 Delaware St # A, Berkeley, CA 94709-2122 | 2007-04-27 |
1285765313 | Mythilla Karunaratne | Nurse Practitioner | 2999 Regent St Ste 425, Berkeley, CA 94705-2119 | 2007-03-08 |
1144358532 | Pam Elizabeth Cameron | Nurse Practitioner | University Health Servcices 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-02-28 |
1497851653 | Maile Concolino Matier | Nurse Practitioner | 2222 Bancroft Ext # 4300, Berkeley, CA 94720-4300 | 2006-09-15 |
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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.