Paula Jean Bergeron, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

041140-21 Issued in NH

Practice address

956 NH Route 120
Cornish, NH 03745-4821

Phone

(603) 542-5972

NPI assigned

Apr 17, 2007

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154546794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 NH ROUTE 120",
            "city": "CORNISH",
            "state": "NH",
            "postal_code": "037454821",
            "telephone_number": "603-542-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 NH ROUTE 120",
            "city": "CORNISH",
            "state": "NH",
            "postal_code": "037454821",
            "telephone_number": "603-542-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "NH",
            "license": "041140-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Vandyck Ames
• Karen Delaney Davis, MS, CCC-SLP
• Joseph P Depalo, RPH
• Susanne S Haseman, LCMHC
• Sarah Elizabeth Lenoir, M.S. CF-SLP
• Rachel Morin, LCMHC

• All providers in Cornish, NH
• College Health Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.