Active NPI
Ginna Marie Bertheau, FNP
- Nurse Practitioner
- Laredo, TX
National Provider Identifier
1326284654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 753685
- Practice address
- 1515 Pappas St
Laredo, TX 78041-1705 - Phone
- (956) 795-8100
- Fax
- (956) 718-6294
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 753685 | TX | Primary |
Addresses
Primary practice location
1515 Pappas St
Laredo, TX 78041-1705
Mailing address
1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753685 | Other | TX | BOARD OF NURSE EXAMINERS FOR THE STATE OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753685 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1326284654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-795-8100",
"fax_number": "956-718-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-795-8100",
"fax_number": "956-718-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTHEAU",
"first_name": "GINNA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "753685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSE EXAMINERS FOR THE STATE OF TEXAS",
"identifier": "753685",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.