Active NPI
Sandra Marie Berardi, NP
- Primary Care Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1508858689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 120504
- Practice address
- 920 2ND Ave S
Suite 400
Minneapolis, MN 55402-3318 - Phone
- (612) 225-1512
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 120504 | MA | Primary |
Addresses
Primary practice location
920 2ND Ave S
Suite 400
Minneapolis, MN 55402-3318
Mailing address
340 W Water St
Rockland, MA 02370-2461
Phone (781) 871-1261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0390470 | Medicaid | MA | |
| NP3846 | Other | BCBS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120504 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Pediatrics LLC | Past | Accepting new patients | |
| Temple Medical Practice, P.C | Past | Accepting new patients | |
| Compass Medical PC | Past | Accepting new patients | |
| Good Samaritan Medical Practice Corp | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Bridgewater, MA
- NPI 1255579975
-
- General Practice Physician
- East Bridgewater, MA
- NPI 1962437962
-
- Specialist
- Brockton, MA
- NPI 1285625137
-
- Family Medicine Physician
- Stoughton, MA
- NPI 1700935442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1508858689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W WATER ST",
"city": "ROCKLAND",
"state": "MA",
"postal_code": "023702461",
"telephone_number": "781-871-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 2ND AVE S",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554023318",
"telephone_number": "612-225-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDI",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "120504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390470",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP3846",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.