Christine Carol Bergeron, APRN,NNP-BC

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

RN 078671/AP05202 Issued in LA

Practice address

4200 Nelson Rd
Lake Charles, LA 70605-4118

Phone

(337) 475-4181

Fax

(337) 475-4713

NPI assigned

Aug 3, 2010

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1831403799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054118",
            "telephone_number": "337-475-4181",
            "fax_number": "337-475-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054118",
            "telephone_number": "337-475-4181",
            "fax_number": "337-475-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "CHRISTINE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "APRN,NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "LA",
            "license": "RN 078671/AP05202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Theodore Bercier, DDS
• Megan Bercier, LOTR
• Edward Carl Bergen, D.O.
• Brandy Lynn Bergeron
• Brennan Bergeron, APRN, PMHNP-BC
• Michael A Bergeron, M.D.
• Orlando Berlanga, OTR
• Dillon L Berlin
• Alisha Bernard, ANP-BC
• Robert Dale Bernauer, M.D.

• Critical Care Neonatal Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Critical Care Neonatal Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.