Tami Berckenhoff, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02051 Issued in TX

Practice address

837 FM 1960 Rd W
Suite 105
Houston, TX 77090-3423

Phone

(281) 586-3888

Fax

(281) 440-2020

NPI assigned

Dec 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: tami.berckenhoff@pinemedclinic.eclinicaldirectplus.com

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1801955893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4356",
            "address_2": "DEPARTMENT 667",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 FM 1960 RD W",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903423",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCKENHOFF",
        "first_name": "TAMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA02051",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Louis Berardinucci, M.D.
• Nilo Enrique Beraun
• Theresa M Berbel, PT
• Esteban N Berberian, M.D.
• Jennifer Lyrah Bercaw-Pratt, M.D.
• Alexandra Sarah Bercow, M.D.
• Bercutt Physical Therapy, PLLC
• Pamela A Bercutt, DPT
• Kally Berdeaux, BCBA
• Beren Medical Sales & Services

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.