Meagan Bertness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

04271 Issued in IA

Legal business name

MEAGAN BERTNESS LLC

Practice address

3126 Summit St
Sioux City, IA 51104-3946

Phone

(712) 898-0030

NPI assigned

Jun 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meagan Archer

Title

Owner

Phone

(712) 898-0030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meagan Wilson

  • Clinical Social Worker
  • Sioux City, IA
  • NPI 1164827432
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356546675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 SUMMIT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043946",
            "telephone_number": "712-898-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 SUMMIT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043946",
            "telephone_number": "712-898-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAGAN BERTNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-898-0030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "04271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.