MS. NANCY MANSUETO BERG (NPI# 1982614491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982614491 |
| Entity Type | Individual |
| Full Name | MS. NANCY MANSUETO BERG |
| Credential | APRN |
| Practice Address |
111 Colchester Ave 352 Mp4 Burlington VT 05401-1473 |
| Mailing Address |
612 Mansfield Rd Fayston VT 05673-7406 |
| Practice Telephone | 8028471600 |
| Mailing Telephone | 8024964375 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
101-0019495 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
101-0019495 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
101-0019495 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0NP0830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699023101 | Nancy Berg | Specialist | 53 W Palisade Ave Apt 209, Englewood, NJ 07631-2706 | 2012-08-15 |
| 1366726838 | Nancy Susan Berg | Dentist | 1524 W Ridge Rd, Rochester, NY 14615-2405 | 2011-10-03 |
| 1437762317 | Nancy Lynn Berg | Peer Specialist | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-08-28 |
| 1629176763 | Nancy Christine Berg | Nurse Practitioner | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2006-09-20 |
| 1811908163 | Nancy Carol Berg | Physician Assistant | 8300 W 38th Ave, Emergency Department, Wheat Ridge, CO 80033-6005 | 2006-08-11 |
| Street Address |
111 COLCHESTER AVE 352 MP4 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1487173860 | Kameron Escajeda | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2017-09-16 |
| 1093257008 | Chetna Tailor | Nurse Practitioner | 811 Sunset Rd # 101, Burlington, NJ 08016-3645 | 2016-11-08 |
| 1003223678 | Gina Peek | Nurse Practitioner | 1550 Oxen Ln Se, Burlington, KS 66839-9127 | 2014-07-16 |
| 1407196181 | Patricia Wagoner Clapp | Nurse Practitioner | 906 N Anthony St, Burlington, NC 27217-6663 | 2013-02-18 |
| 1396021374 | Medijn Associates | Nurse Practitioner | 73 Jennifer Ln, Burlington, NJ 08016-1145 | 2011-10-23 |
| 1821266917 | Sara Robertson | Nurse Practitioner | 2716 Troxler Rd, Burlington, NC 27215-9187 | 2008-02-12 |
| 1730237074 | Tara M Chasnoff | Nurse Practitioner | 65 Caroline St, Burlington, VT 05401-4811 | 2007-01-05 |
| 1265455976 | Kristina Taylor Carr | Nurse Practitioner | 3504 Raccoon Run Dr, Burlington, NC 27215-9343 | 2006-07-25 |
| 1477501583 | Elizabeth Helen Burns | Nurse Practitioner | Fletcher Allen Health Care, 111 Colchester Ave, Burlington, VT 05401 | 2006-05-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MS. NANCY MANSUETO BERG.
| 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.