Ashley Bergesen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

04949 Issued in MD

Practice address

9975 Medical Center Dr
Rockville, MD 20850-3316

Phone

(301) 738-9691

NPI assigned

Sep 2, 2014

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

Practice roles

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.

• The Treatment and Learning Center

  • Local Education Agency (LEA)
  • Rockville, MD
  • NPI 1205185733
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1639579238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 MORNINGWOOD DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503316",
            "telephone_number": "301-738-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGESEN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ruth Berger, OTRL
• Ira Lawrence Berger, MD
• Ruth Berger, LCSW-C
• Susan Eileen Berger
• Laetetia Claire Bergeron, MOT, OTR/L
• Carly Samantha Bergman
• Leslie C Bergmann, PT
• Ariadna Berguecio
• Tsiyon Berhanu
• Amelework Tesfaye Berhe

• Speech-Language Pathologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.