Kelley Berberich, RN FNP-C
Individual provider Active NPI Family Nurse Practitioner · El Dorado Hills, CA
NPI 1285758151 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1285758151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 16721 (CA)
- Practice address
- 1216 Suncast LN
Suite 1
El Dorado Hills, CA 95762-9668 - Phone
- (916) 933-5028
- Fax
- (916) 933-8747
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16721 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16721 | CA | Yes |
Addresses
Primary practice location
1216 Suncast LN
Suite 1
El Dorado Hills, CA 95762-9668
Mailing address
1216 Suncast LN
Suite 1
El Dorado Hills, CA 95762-9668
Phone (916) 933-5028
Other providers in El Dorado Hills, CA
- Aidan Beadles
- Ginger M Beaton
- Behavior Analytic Solutions, LLC
- Sohrab Behbahani
- Victoria Irene Bennett
- Beretta Physical Therapy, Inc.
- Michael Joseph Beretta
- Shannon Beretta
- Bonnie Jean Berger
- Matthew Christopher Berger
All providers in El Dorado Hills, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. 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.