CAROLINE LEIGH BERGSTRESSER WHNP NPI 1902201692

NPI Information

NPI: 1902201692
Provider Name: CAROLINE LEIGH BERGSTRESSER, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
97 THOMAS JOHNSON DR STE 101
FREDERICK, MD
ZIP 21702
Phone: (301) 663-4545
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Caroline Leigh Bergstresser, WHNP is a women's health nurse practitioner in Frederick, MD. Caroline Leigh Bergstresser, WHNP NPI is 1902201692. 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:

97 THOMAS JOHNSON DR STE 101
FREDERICK, MD
ZIP 21702
Phone: (301) 663-4545
Fax: (301) 663-1709

The NPI 1902201692 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 10/24/2014 and was last updated on 10/1/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	0024171826	VIRGINIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	R229355	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1902201692	MEDICAID	MARYLAND

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: 11/14/2023

NPI Synchronization or Removal

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