DR. JENNETTE SEPULVADO BERGSTEDT (NPI# 1871564807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871564807 |
| Entity Type | Individual |
| Full Name | DR. JENNETTE SEPULVADO BERGSTEDT |
| Credential | M.D. |
| Practice Address |
431 W Lafayette St Winnfield LA 71483-3463 |
| Practice Telephone | 3186480375 |
| Practice Fax Number | 3186480378 |
| Mailing Telephone | 3186480375 |
| Mailing Fax Number | 3186480378 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 021307 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1655724 | 05 |
| Street Address |
431 W LAFAYETTE ST |
| City | WINNFIELD |
| State | LA |
| Zip Code | 71483-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101826 | Holly Rhymes Maxwell | Nurse Practitioner | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2018-07-25 |
| 1033602297 | Julie Evans | Counselor | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2018-06-12 |
| 1801392063 | Candace Key | Dentist | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2018-04-04 |
| 1922508563 | Winn Community Health Center, Inc. | Pharmacy | 431 W Lafayette St, Winnfield, LA 71483 | 2018-02-20 |
| 1457874075 | Ansley T Hughes | Nurse Practitioner | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2017-07-25 |
| 1023531985 | Jamie Golemon | Nurse Practitioner | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2017-07-24 |
| 1467835348 | Robin Brodnax | Nurse Practitioner | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2015-07-09 |
| 1871857292 | Norman F Engelsen | Dentist | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2012-06-29 |
| 1093086878 | Victoria Meredith Bates | Dietitian, Registered | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2012-01-25 |
| 1518243526 | Terri Lynn Roberts | Nurse Practitioner | 431 W Lafayette St, Winnfield, LA 71483-3463 | 2011-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871732487 | Rosalie Cascabel Buraga | Physical Therapist | 915 1st Street, Therapy Dept. Winnfield Nursing and Rehab. Center, Winnfield, LA 71483 | 2009-02-05 |
| 1568614311 | Winn Association for Retarded Citizens | Day Training, Developmentally Disabled Services | 1006 South Jones St., Winnfield, LA 71483 | 2008-10-10 |
| 1245402619 | Jerry W Williams Od | Durable Medical Equipment & Medical Supplies | 1605 West Court St, Winnfield, LA 71483 | 2008-03-26 |
| 1295926418 | Gentle Care Sitting Service | Home Health | 1701 West Court St, Winnfield, LA 71483 | 2007-08-05 |
| 1427253046 | Winn Association for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 1006 S Jones St, Winnfield, LA 71483 | 2007-06-15 |
| 1548386162 | Central Management Company, LLC | Skilled Nursing Facility | 9258 Highway 84 West, Winnfield, LA 71483 | 2007-03-22 |
| 1386796944 | Hope Hospice, Inc | Hospice Care, Community Based | 100 South Magnolia Street, Winnfield, LA 71483 | 2007-01-16 |
| 1356413025 | Mco of Louisiana Inc | Durable Medical Equipment & Medical Supplies | 430 West South Street, Winnfield, LA 71483 | 2006-11-15 |
| 1942397666 | Court House Pharmacy | Pharmacy | 104 S Jones St, Winnfield, LA 71483 | 2006-10-06 |
| 1386746733 | Randolph Layne Williams | Family Medicine | 1405 W Court St, Winnfield, LA 71483 | 2006-09-05 |
| Find all providers in zip 71483 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710041314 | Alfonso Pacheco | Pediatrics | Hwy 560 Gum Spring Rd, Winn Correctional Center, Winnfield, LA 71438 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182968 | Can Do Kids Pediatric Therapy Services | Pediatrics | 613 Simpson St, Benton, LA 71006-8314 | 2020-07-23 |
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1689290603 | Impact Physician Group, Pediatrics LLC | Pediatrics | 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050 | 2020-06-25 |
| 1609334390 | Southside Pediatrics. A.p.m.c. | Pediatrics | 811 Albertson Pkwy Ste A, Broussard, LA 70518-5256 | 2019-03-12 |
| 1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1508380197 | Hospital Service District 1 of East Baton Rouge Parish | Pediatrics | 6110 Main St Ste B, Zachary, LA 70791-4079 | 2017-07-26 |
| 1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
| 1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
| 1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
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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.