NPIMap

Organization Active NPI

Dr. Jodi Bergs Integrative Family Health Clinic

  • Non-Pharmacy Dispensing Site
  • Everett, WA
National Provider Identifier
1700162302
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DR. JODI BERGS INTEGRATIVE FAMILY HEALTH CLINIC
Practice address
3903 Colby Ave
Everett, WA 98201-4926
Phone
(425) 258-2325
NPI assigned
Oct 26, 2011
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. JODI BERGS INTEGRATIVE FAMILY HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Jodi Berg, NDNPI 1962546119
Title
Medical Director
Phone
(425) 258-2325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3903 Colby Ave
Everett, WA 98201-4926

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Dr Jodi Bergs Integrative Family Health Clinic

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1700162302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014926",
            "telephone_number": "425-258-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JODI BERGS INTEGRATIVE FAMILY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. JODI BERGS INTEGRATIVE FAMILY HEALTH CLINIC",
        "enumeration_date": "2011-10-26",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-258-2325",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.