EVA A BERARDELLI (NPI# 1629165469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629165469 |
Entity Type | Individual |
Full Name | EVA A BERARDELLI |
Credential | M.D. |
Practice Address |
2030 Mountain View Ave Longmont CO 80501-3178 |
Mailing Address |
Po Box 614 Niwot CO 80544-0614 |
Practice Telephone | 3037099772 |
Practice Fax Number | 3036520468 |
Mailing Telephone | 3037097792 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 25586 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2030 MOUNTAIN VIEW AVE |
City | LONGMONT |
State | CO |
Zip Code | 80501-3178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285631440 | Pierre V Pavot | Psychiatry & Neurology | 2030 Mountain View Ave, Suite 300, Longmont, CO 80501-3178 | 2005-07-03 |
1891396669 | Alan E Benson Md PC | Specialist | 2030 Mountain View Ave, Longmont, CO 80501-3178 | 2020-11-06 |
1215543913 | Colorado Surgical Service PC | Surgery | 2030 Mountain View Ave, Suite 200, Longmont, CO 80501-3180 | 2020-09-17 |
1780130252 | Longmont-mountain View Surgery Center LLC | Clinic/Center | 2030 Mountain View Ave, Suite 100, Longmont, CO 80501-3178 | 2016-08-25 |
1831543107 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 2030 Mountain View Ave, Suite 400, Longmont, CO 80501-3178 | 2016-04-22 |
1912260811 | Ethan Wei | Hospitalist | 2030 Mountain View Ave, Suite 540, Longmont, CO 80501-3178 | 2012-06-17 |
1366718983 | Katherine K Olson | Physician Assistant | 2030 Mountain View Ave, Suite 420, Longmont, CO 80501-3178 | 2012-03-28 |
1427340009 | Robert M Smith Dpm P C | Podiatrist | 2030 Mountain View Ave, Suite 300, Longmont, CO 80501-3178 | 2011-05-13 |
1952543852 | Obianuju Mba | Family Medicine | 2030 Mountain View Ave, 250, Longmont, CO 80501-3178 | 2009-03-24 |
1316184914 | Nicole L Pygott | Audiologist-Hearing Aid Fitter | 2030 Mountain View Ave, Ste 500, Longmont, CO 80501-3178 | 2009-01-19 |
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1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
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Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366040735 | Innovative Therapy Solutions, LLC | Rehabilitation Practitioner | 1671 Saratoga Dr, Lafayette, CO 80026-9025 | 2020-10-16 |
1992337240 | Marta Grazyna Stec | Rehabilitation Practitioner | 351 S Estes St Apt 23, Lakewood, CO 80226-2984 | 2020-02-05 |
1821642919 | True Therapy Consultants of Colorado LLC | Rehabilitation Practitioner | 12245 W Arizona Ave, Lakewood, CO 80228-3607 | 2019-07-28 |
1194295055 | Nicole Wolfe | Rehabilitation Practitioner | 2828 N Speer Blvd Unit 101, Denver, CO 80211-4215 | 2018-12-04 |
1245738970 | David Abbott | Rehabilitation Practitioner | 2120 Academy Cir Ste F, Colorado Springs, CO 80909-1674 | 2018-01-29 |
1255679692 | Meghan Flannigan | Rehabilitation Practitioner | 4713 W 113th Ave, Westminster, CO 80031-7821 | 2013-01-18 |
1205100906 | Mia Beveridge | Rehabilitation Practitioner | 2790 N Academy Blvd Ste 307, Colorado Springs, CO 80917-5329 | 2012-02-28 |
1437325727 | Theresa Delano's Athletic Therapy Services, LLC | Rehabilitation Practitioner | 11168 Latigo Ln, Parker, CO 80138-7339 | 2008-05-06 |
1922207133 | Redrock Physical Medicine & Rehabiliation PC | Rehabilitation Practitioner | 551 Kokopelli Blvd Unit J, Fruita, CO 81521-6305 | 2007-07-17 |
1871651638 | Summit Eagle Spine and Rehabilitation PC | Rehabilitation Practitioner | 360 Peakone Drive, Suite 390, Frisco, CO 80443 | 2006-12-05 |
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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.