Danielle Bertram, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2026042202 Issued in MO

Practice address

3218 W Edgewood Dr Ste 500
Jefferson City, MO 65109-6952

Phone

(573) 415-1009

NPI assigned

Sep 8, 2026

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

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1750291266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 LANGHAM DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 W EDGEWOOD DR STE 500",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096952",
            "telephone_number": "573-415-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Crossings W # 3",
            "address_purpose": "LOCATION",
            "city": "Lake Ozark",
            "state": "MO",
            "postal_code": "650498749",
            "country_code": "US",
            "telephone_number": "573-365-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTRAM",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2026042202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.