Holly Joan Berens, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

1999134640 Issued in MO

Practice address

Weed Army Community Hospital
BLDG 166
Fort Irwin, CA 92310

Phone

(760) 380-7391

NPI assigned

Apr 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518088426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 CRACKER JACK LN UNIT B",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102071",
            "telephone_number": "760-386-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL",
            "address_2": "BLDG 166",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENS",
        "first_name": "HOLLY",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "1999134640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Corpuz Bauzon, MSN, RN, FNP-BC
• Jaximillian P Baylosis, DDS
• Katrina Dawn Beck, RN
• Richard Alfred Behr, RN
• Porsha Shikera Bell, X2
• Mark Bergami
• Stephen Bertsch, CRNA
• Zachary Ryan Marvin Bissell, DPT
• Chase Turner Blankenship, DO
• Maria Jose Blazquez-Gomez

• Licensed Practical Nurse in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Licensed Practical Nurse 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.