Alynn Ann Berg
Individual provider Active NPI Pediatric Nurse Practitioner · Ashland, KY
NPI 1215656459 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1215656459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 3008404 (KY)
- Practice address
- 4700 Southern Hills Dr
Ashland, KY 41102-9203 - Phone
- (832) 928-3863
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138022 | KY | MD | Pediatric Registered Nurse |
| 3008404 | KY | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 1138022 | KY | |
| Pediatric Nurse Practitioner | 363LP0200X | 3008404 | KY | Yes |
Addresses
Primary practice location
4700 Southern Hills Dr
Ashland, KY 41102-9203
Mailing address
4700 Southern Hills Dr
Ashland, KY 41102-9203
Phone (832) 928-3863
Other providers in Ashland, KY
- David E Bellville
- Ben J. O'Dell, MD, PSC
- Jamie Bennett
- Kayla Ambria Bennett
- Tracy Bentley
- Karri Berlin
- Cesiah Bernal
- Ashley Berry
- Matthew Berry
- Better Eye Care,PLLC
All providers in Ashland, KY · Pediatric Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.