KIMBERLY BERGHOFF (NPI# 1669029021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669029021 |
| Entity Type | Individual |
| Full Name | KIMBERLY BERGHOFF |
| Practice Address |
1100 W 42nd St Ste 228 Indianapolis IN 46208-3300 |
| Practice Telephone | 3166987723 |
| Mailing Telephone | 3166987723 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
1513988 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 W 42ND ST STE 228 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215433479 | Amy Susan Nichols | Developmental Therapist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2018-04-04 |
| 1235745662 | Tamera A. Cheviron | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-09-21 |
| 1336752997 | Michelle Flora | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-08-24 |
| 1427609437 | Kelly Lloyd | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-09-23 |
| 1366090953 | Anne West | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-08-28 |
| 1164076501 | Melinda Koehne | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-24 |
| 1154974665 | Tracy Hibler-aikin | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-23 |
| 1558922377 | Deborah Hardesty | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-24 |
| 1922669746 | Tommie Roesch | Rehabilitation Counselor | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-24 |
| 1215597463 | Rhonda Rhoades | Rehabilitation Counselor | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456404 | Robert Kenneth Morris IIi | Specialist/Technologist | 5730 E Washington St, Apt 36, Indianapolis, IN 46219-6556 | 2006-08-20 |
| 1427609437 | Kelly Lloyd | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-09-23 |
| 1366090953 | Anne West | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-08-28 |
| 1164076501 | Melinda Koehne | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-24 |
| 1154974665 | Tracy Hibler-aikin | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-23 |
| 1558922377 | Deborah Hardesty | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-24 |
| 1134789753 | Caroline Brill | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-17 |
| 1891355699 | Donna Hinrichsen | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-14 |
| 1902918360 | Thomas Arnold Grimmelsman | Specialist/Technologist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525971 | Lisa Ann Rizek | Specialist/Technologist | 507 Indiana St, Walkerton, IN 46574-1108 | 2019-05-31 |
| 1487074340 | Marc Eilers | Specialist/Technologist | 484 Ball Dr, Hanover, IN 47243-9669 | 2014-04-18 |
| 1821508060 | Benjamin Fischer | Specialist/Technologist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2017-10-02 |
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on KIMBERLY BERGHOFF.
| 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.