Active NPI
Katherine Joyce Bergsma
- Pediatric Occupational Therapist
- Battle Creek, MI
National Provider Identifier
1366220519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 777 Goguac St W # D
Battle Creek, MI 49015-2097 - Phone
- (616) 536-2211
- NPI assigned
- Sep 19, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
777 Goguac St W # D
Battle Creek, MI 49015-2097
Mailing address
7181 Lake Vista Dr SW Apt 2B
Byron Center, MI 49315-8875
Other practice location 1
9809 Cherry Valley Ave SE Ste D
Caledonia, MI 49316-9592
Phone (616) 536-2211
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1366220519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7181 LAKE VISTA DR SW APT 2B",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GOGUAC ST W # D",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490152097",
"telephone_number": "616-536-2211"
}
],
"practiceLocations": [
{
"address_1": "9809 Cherry Valley Ave SE Ste D",
"address_purpose": "LOCATION",
"city": "Caledonia",
"state": "MI",
"postal_code": "493169592",
"country_code": "US",
"telephone_number": "616-536-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGSMA",
"first_name": "KATHERINE",
"middle_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.