Barbara Jean Bodle-Pedersen, MSN, MPH, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

293413, 3383 Issued in CA

Practice address

2222 Bancroft Ave.
Berkeley, CA 94720-4300

Phone

(510) 643-7117

NPI assigned

Apr 26, 2007

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 identifiers 1

Other names 1

• Barbara Jean Bodle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: barbara.bodle-pedersen.1@14789.direct.athenahealth.com

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457571028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FRANCISCAN WAY",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071112",
            "telephone_number": "510-525-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT AVE.",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-643-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODLE-PEDERSEN",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "MSN, MPH, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "293413, 3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE, NP",
            "identifier": "293413, 3383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BODLE",
            "middle_name": "JEAN",
            "credential": "MSN,MPH,FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Blue Sky Hearing & Audiology, Inc.
• Sasha Blum, PH.D.
• Daniel Blumrosen, MA MFT
• Boris Bobrov
• Paul Dominic Bocanegra
• Suzanne Christine Bodor-Billings, M.D.
• Gabrielle Bodzin, LCSW
• Wolfgang Boeck, DDS
• Nina G Boeddeker, L.AC.
• Gregory C Bogart, PH.D, MFT

• Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.