Donna J Bergeron, MSH ORTL CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT1707 Issued in FL

Practice address

4008 Gaster Ave
North Las Vegas, NV 89081-6696

Phone

(702) 704-4440

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Donna J Reist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1376508853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 GASTER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816696",
            "telephone_number": "702-704-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 GASTER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816696",
            "telephone_number": "702-704-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "DONNA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSH ORTL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "REIST",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Ellen Berard, MSW, CSW-PIP
• Loni Berbaum
• Denmari Berberabe
• Dariana Caridad Berea-Barrera
• David Berg, M.D.
• Betsey Bergquist, PHARM.D.
• Dagmawe Berhanu, PHARMD
• Quiana Berhe
• Joshua Berkley
• Ryan Richard Berkshire, LCSW

• Hand Occupational Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Hand Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.