Active NPI
Devaki Lindsey Berkson, MA, CNS, DACBN
- Nutritionist
- Cedar Park, TX
National Provider Identifier
1396004792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 11039
- Practice address
- 2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968 - Phone
- (512) 345-8970
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 11039 | TX | Primary |
Addresses
Primary practice location
2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968
Mailing address
PO Box 203084
Austin, TX 78720-3084
Phone (512) 507-3279
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039 | TX | MD | Sonography Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1396004792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203084",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787203084",
"telephone_number": "512-507-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S LAKELINE BLVD STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132968",
"telephone_number": "512-345-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKSON",
"first_name": "DEVAKI",
"middle_name": "LINDSEY",
"credential": "MA, CNS, DACBN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": "11039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.