Kerry Kathleen Berghoff, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP4133 Issued in AZ

Practice address

705 S Dobson Rd
Chandler, AZ 85224-5657

Phone

(480) 850-2873

NPI assigned

Aug 26, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Allergy Asthma & Immunology Consultants PLC

  • Allergy & Immunology Physician
  • Chandler, AZ
  • NPI 1093748550
  Medicare reassignment NPD
• San Tan Allergy and Asthma PC

  • Allergy & Immunology Physician
  • Gilbert, AZ
  • NPI 1124240510
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1093095671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-850-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-850-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHOFF",
        "first_name": "KERRY",
        "middle_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4133",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Benz, D.C.
• Stephanie Benz, D.C.
• Brianna Berceau
• Elilta Bereketab, O.D.
• Dena Beth Berg, M.S.
• Jonathan Bergloff, D.M.D.
• Amy Berkhout, FNP-BC
• Yael Berko, DVM
• Gregory Berman, M.D.
• Cezanne Bermeo, M.D.

• Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.