MOLLY REBECCA BERG CNP NPI 1902878523

NPI Information

NPI: 1902878523
Provider Name: MOLLY REBECCA BERG, CNP
Classification: Nurse Practitioner - 363LP1700X
Entity Type: Individual

Specialization: Perinatal

Address:
1417 S CLIFF AVE
STE 100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8937
Get Directions

Molly Rebecca Berg, CNP is a perinatal nurse practitioner in Sioux Falls, SD. Molly Rebecca Berg, CNP NPI is 1902878523. 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:

1417 S CLIFF AVE
STE 100
SIOUX FALLS, SD
ZIP 57105-063
Phone: (605) 322-8937
Fax: (605) 322-8938

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/10/2018.

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	363LP1700X	Nurse Practitioner	Perinatal	CP000444	SOUTH DAKOTA	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	2387950	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
2	122586300	MEDICAID	MINNESOTA
3	6828250	MEDICAID	SOUTH DAKOTA
4	4994372	OTHER	SOUTH DAKOTA	BLUE CROSS
5	0503706	MEDICAID	IOWA
6	6828252	MEDICAID	SOUTH DAKOTA
7	57105AD04	OTHER	SOUTH DAKOTA	WPS TRICARE
8	924114229808	OTHER	MINNESOTA	PRIMEWEST
9	0705288	OTHER	SOUTH DAKOTA	MEDICA
10	248008	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
11	263P6DA	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
12	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
13	HP55698	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
14	263P6DA	OTHER	MINNESOTA	BLUE CROSS
15	283761045257	OTHER	SOUTH DAKOTA	PREFERRED ONE
16	10025040700	MEDICAID	NEBRASKA
17	9243925	OTHER	SOUTH DAKOTA	DAKOTACARE

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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