Mary Bertossi, MS,RN,CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN207884 Issued in GA

Practice address

1800 Howell Mill Rd NW Ste 475
Atlanta, GA 30318-0920

Phone

(678) 961-2100

Fax

(678) 961-2107

NPI assigned

Feb 24, 2016

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

Credentials

Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

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 and National Provider Directory roles.

• Van Meter Pediatric Endocrinology

  • Pediatric Endocrinology Physician
  • Atlanta, GA
  • NPI 1487967360
  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1649630310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 475",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180920",
            "telephone_number": "678-961-2100",
            "fax_number": "678-961-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 475",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180920",
            "telephone_number": "678-961-2100",
            "fax_number": "678-961-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOSSI",
        "first_name": "MARY",
        "credential": "MS,RN,CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN207884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Bertasi, LCSW
• Glenda Berthelot, SLP
• Lauren Bertman, FNP
• Dominique Marie Bertolini
• Nhu V Bertolli, PA-C
• Kurtis Bertram, DPM
• Sydney Catherine Bertram, MD
• Jacquelyn Bertrand, PHD
• Nyrva Bertrand, LPN
• Susan Bertucci

• Pediatric Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.