Melissa R Berky, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R022319 Issued in ME

Practice address

700 Mt Hope Ave
Suite 420
Bangor, ME 04401

Phone

(207) 947-5337

Fax

(207) 947-9163

NPI assigned

Jul 14, 2006

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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

• Mabel Wadsworth Women's Health Center

  dba Mabel Wadsworth Center

  • Women's Health Nurse Practitioner
  • Bangor, ME
  • NPI 1841281128
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1639195803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020918",
            "telephone_number": "207-947-5337",
            "fax_number": "207-947-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MT HOPE AVE",
            "address_2": "SUITE 420",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-5337",
            "fax_number": "207-947-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKY",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "R022319",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "R022319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garth Andrew Berenyi, PT
• Makenzie Caylor Bergeron, LMSW-CC
• Naomi H Bergman, FNP
• Lois Bergmans, MSN, CNM
• Bobbi L Bergmooser, CRNA
• Gerald Berlin, DO
• Tyler Bernaiche
• Kathleen M Bernard, FNP
• Mellisa A Bernardini, RD
• Karlee Bernier

• Advanced Practice Midwife in Bangor, ME
• Providers in Bangor, ME by specialty
• Advanced Practice Midwife in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.