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MS. SANDRA MARIE BERARDI NP NPI 1508858689


NPI Information

NPI: 1508858689
Provider Name: MS. SANDRA MARIE BERARDI, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
920 2ND AVE S
SUITE 400
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 225-1512
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MS. Sandra Marie Berardi, NP is a primary care nurse practitioner in Minneapolis, MN. MS. Sandra Marie Berardi, NP NPI is 1508858689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 2ND AVE S
SUITE 400
MINNEAPOLIS, MN
ZIP 55402-318
Phone: (612) 225-1512

The NPI 1508858689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 2/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary Care120504MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q25658MEDICARE UPIN
20390470MEDICAIDMASSACHUSETTS
3NP384603MEDICARE PINMASSACHUSETTS
4NP3846MEDICARE ID-TYPE UNSPECIFIED
5NP3846OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.