Lisa Bergendahl
Individual provider Active NPI Medical-Surgical Registered Nurse · South Weymouth, MA
NPI 1376472472 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1376472472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- RN (MA)
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (781) 624-8992
- NPI assigned
- May 15, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN | MA | Yes |
Addresses
Primary practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (781) 624-8992
Other providers in South Weymouth, MA
- Kimberly Barnett
- Brian J. Battista
- Richard Scott Bello
- John C. Benanti
- Jeffrey P Bennett
- Kim A Bergner
- David M Berowitz
- Best Care Health and Wellness Inc
- James S Bezreh
- Michele Delvecchio Bickford
All providers in South Weymouth, MA · Medical-Surgical Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.