Betsy Ann Bergmann, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

ALPP-42983 Issued in NY

Practice address

1522 Ferry Rd
Grand Island, NY 14072-3026

Phone

(716) 628-5262

NPI assigned

Aug 20, 2014

Last updated

Aug 20, 2014By 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

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1306245808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 FERRY RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723026",
            "telephone_number": "716-628-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 FERRY RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723026",
            "telephone_number": "716-628-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "BETSY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "ALPP-42983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darce Anne Barnes, RPH
• Emma M Becker, OTR/L
• Dawn Beers
• Laura Catherine Bell, MA, CCC-SLP
• Teresa S Bellanca, PT
• Joseph W Besl, PA
• Joshua Billica
• Beverly Bishop, DNP, MS, BSN, RN
• David Scott Blankenberg, OTR/L
• Maura Margaret Bobak

• Lactation Consultant (Non-RN) in Grand Island, NY
• Providers in Grand Island, NY by specialty
• Lactation Consultant (Non-RN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.