Active NPI
Lana Berkman
- Contractor
- Riverview, FL
National Provider Identifier
1629467949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA73500
- Practice address
- 10015 Park Place Ave
Riverview, FL 33578-5303 - Phone
- (813) 743-4048
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA73500 | FL | Primary |
Addresses
Primary practice location
10015 Park Place Ave
Riverview, FL 33578-5303
Mailing address
6938 Crown Lake Dr
Gibsonton, FL 33534-3918
Phone (813) 743-4048
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA73500 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1629467949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6938 CROWN LAKE DR",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335343918",
"telephone_number": "813-743-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 PARK PLACE AVE",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785303",
"telephone_number": "813-743-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKMAN",
"first_name": "LANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "MA73500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.