Active NPI
Alison Marie Berardino, NP-C
- Family Nurse Practitioner
- Klamath Falls, OR
National Provider Identifier
1801268636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201507839 NP-PP
- Practice address
- 2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1106 - Phone
- (541) 274-8400
- Fax
- (541) 274-8405
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9186218 | FL | |
| Family Nurse Practitioner | 363LF0000X | 201507839 NP-PP | OR | Primary |
Addresses
Primary practice location
2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1106
Mailing address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-8400
Other names 1
- Alison Marie Simpson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9186218 | FL | MD | Family Nurse Practitioner |
| 201507839 NP-PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1801268636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 DAGGETT AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011106",
"telephone_number": "541-274-8400",
"fax_number": "541-274-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 DAGGETT AVE STE 200",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011106",
"telephone_number": "541-274-8400",
"fax_number": "541-274-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDINO",
"first_name": "ALISON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9186218",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201507839 NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "SIMPSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.