Active NPI
Kathleen Bernache
- Social Worker
- Tonopah, NV
National Provider Identifier
1861967911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7275-S
- Practice address
- 1 Frankie St
Tonopah, NV 89049 - Phone
- (775) 482-9884
- NPI assigned
- Oct 4, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 007520-2015 | FL | |
| Social Worker | 104100000X | 7275-S | NV | Primary |
Addresses
Primary practice location
1 Frankie St
Tonopah, NV 89049
Mailing address
PO Box 1225
Tonopah, NV 89049-1225
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007520-2015 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 7275-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1861967911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1225",
"city": "TONOPAH",
"state": "NV",
"postal_code": "890491225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FRANKIE ST",
"city": "TONOPAH",
"state": "NV",
"postal_code": "89049",
"telephone_number": "775-482-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNACHE",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "007520-2015",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "7275-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonopah, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.