Kelly Ann Berg, MSN RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

52744 Issued in NE

Practice address

14110 Tregaron Dr
Bellevue, NE 68123-3724

Phone

(402) 827-5950

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1093552820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MARLENE LN",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232624",
            "telephone_number": "402-202-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 TREGARON DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233724",
            "telephone_number": "402-827-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "MSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "52744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Bennett
• Brandon Anthony Bennett
• Toni Bentley
• Courtney Leigh Berg, RN
• Joseph Berg
• Rebecca K Berger
• Michelle M Berlin, P.A.C.
• Antonio Berry
• Shalyne Berry
• Samantha Bertrand

• School Registered Nurse in Bellevue, NE
• Providers in Bellevue, NE by specialty
• School Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.