Wendy Berg, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28225 Issued in AK

Practice address

1025 W Barnette St
Fairbanks, AK 99701-4539

Phone

(907) 451-1649

Fax

(907) 451-1666

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Alaska Department of Administration

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2015.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1497149751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014539",
            "telephone_number": "907-451-1649",
            "fax_number": "907-451-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014539",
            "telephone_number": "907-451-1649",
            "fax_number": "907-451-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "WENDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "28225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Grace Benedict
• Emma Claire Benjamin
• Geraldine Benshoof
• Deborah Benson, PT
• Frank Donald Berardi
• Wyatt Berg, DC
• Patricia L. Bergdahl, D.M.D.
• Daniel Michael Bergeron, DDS
• Marvin Bergeson, M.D.
• Valerie Bergman

• All providers in Fairbanks, AK
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.