NICOLE BERG (NPI# 1922473149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922473149 |
| Entity Type | Individual |
| Full Name | NICOLE BERG |
| Other Name | NICOLE THOMPSON |
| Practice Address |
12 S 8th St Yakima WA 98901-3020 |
| Mailing Address |
Po Box 2605 Yakima WA 98907-2605 |
| Practice Telephone | 5094544143 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | DI60623977 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RDN | 86047366 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360492 | Nicole Elizabeth Berg | Nurse Practitioner | 3033 Excelsior Blvd Ste 465, Minneapolis, MN 55416-3372 | 2018-09-19 |
| 1083037105 | Nicole Berg | Occupational Therapist | 836 Ritchie Hwy, Suite 6, Severna Park, MD 21146-4126 | 2014-01-24 |
| Street Address |
12 S 8TH ST |
| City | YAKIMA |
| State | WA |
| Zip Code | 98901-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885852 | Melissa H Lemp | Pediatrics | 12 S 8th St, Yakima, WA 98901-3020 | 2005-07-20 |
| 1033710207 | Helena Laubach | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2020-11-04 |
| 1104431659 | Tina Simmons | Registered Nurse | 12 S 8th St, Yakima, WA 98901-3020 | 2020-09-11 |
| 1538773460 | Carlos Campos | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2020-09-08 |
| 1396358495 | Hannah Siemer | Registered Nurse | 12 S 8th St, Yakima, WA 98901-3020 | 2020-08-28 |
| 1306458849 | Robin L Perches | Counselor | 12 S 8th St, Yakima, WA 98901-3020 | 2020-08-17 |
| 1639794472 | Rosalinda Marquez | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2020-06-08 |
| 1750906525 | Olivia Trevino | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2020-06-08 |
| 1851916639 | Blanca Arroyo | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2020-06-08 |
| 1124642947 | Nora Cisneros | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
| 1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
| 1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
| 1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
| Find all providers in zip 98901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306805791 | Geri Lee Jennings | Dietitian, Registered | 1221 North 16th Ave, Yakima, WA 98902-1347 | 2006-03-22 |
| 1518510858 | Cecia Dianely Acevedo | Dietitian, Registered | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-07-16 |
| 1043775851 | Kirsten Marie Dyck | Dietitian, Registered | 4003 Creekside Loop, Yakima, WA 98908-3962 | 2019-02-06 |
| 1568941698 | Cesar Navarro | Dietitian, Registered | 110 S 9th Ave, Yakima, WA 98902-3315 | 2018-08-09 |
| 1770092116 | Sandra Valencia | Dietitian, Registered | 12 S 8th St, Yakima, WA 98901-3020 | 2017-09-28 |
| 1295105237 | Nicole Borroff | Dietitian, Registered | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2015-10-02 |
| 1922474980 | Emily Wall | Dietitian, Registered | 4003 Creekside Loop, Nutrition Services, Yakima, WA 98908-3962 | 2015-08-13 |
| 1689061699 | Nancy Mitchell Truitt | Dietitian, Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2015-04-17 |
| 1922494939 | Renee Sarchet-peterson | Dietitian, Registered | 3801 Summitview Ave, Yakima, WA 98902-2794 | 2015-04-07 |
| 1548661580 | Katherine Smith | Dietitian, Registered | 12 S 8th St, Yakima, WA 98901-3020 | 2014-09-09 |
| Find all providers in YAKIMA | ||||
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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.