Kalli Bermingham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.1625349 Issued in CO

Practice address

151 W Lake St
Fort Collins, CO 80524-4111

Phone

(970) 491-7121

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Colorado State University

  dba Hartshorn Health Service

  • Clinic/Center
  • Fort Collins, CO
  • NPI 1528156437
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1093297533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 ALAN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243608",
            "telephone_number": "406-533-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W LAKE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244111",
            "telephone_number": "970-491-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMINGHAM",
        "first_name": "KALLI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1625349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Bergstedt
• Lauren Jane Bergstrom, LPCC
• Berkana Rehabilitation, PLLC
• Kam Berkenkotter, RN
• Bruce Andrew Berkowitz, MD
• Kristi R Bermingham
• Roger P Bermingham, M. D.
• Paige Bernat, OTR/L
• Jackie Bernhardt, LMT
• Stephen Bernier, BCBA

• Registered Nurse in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.