Steven Bertovich, R.N.

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN133410 Issued in AZ

Practice address

3499 Tarpon Dr
Lake Havasu City, AZ 86406-4246

Phone

(928) 681-4214

NPI assigned

Jun 15, 2009

Last updated

Jun 15, 2009By the provider in NPPES

Sex

Male

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1346477593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 TARPON DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064246",
            "telephone_number": "928-681-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 TARPON DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064246",
            "telephone_number": "928-681-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOVICH",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN133410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom D Bennetch, PT
• Danielle Bennett, LMT
• Gail Marie Benson, RN
• Heidi A Berdin, MD
• Faith Tara Berstler, RN
• Laurie M Bevans, RN
• Cheryl Billings, LMT
• William F Binder, M.D
• Richard Joseph Bittner, DC
• Jenniffer Blair, FNP-C

• Registered Nurse First Assistant in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Registered Nurse First Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.