Julie Berthelsen

Key facts

NPI

1548089378

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

216 Walnut Dr
Moorefield, WV 26836-8694

Phone

(315) 350-7382

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2024.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1548089378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WALNUT DR",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268368694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WALNUT DR",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268368694",
            "telephone_number": "315-350-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHELSEN",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Moorefield, WV · Home Health Aide in West Virginia