Jennette Sepulvado Bergstedt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

021307 Issued in LA

Practice address

431 W Lafayette St
Winnfield, LA 71483-3463

Phone

(318) 648-0375

Fax

(318) 648-0378

NPI assigned

Jan 28, 2006

Last updated

Dec 3, 2013By the provider in NPPES

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 LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennette.bergstedtmd@lincolnchc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Lincoln Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1477090959
  NPD
• Winn Community Health Center, Inc.

  dba Acadian Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1518589456
  NPD (past)
• Winn Community Health Center, Inc.

  • Family Nurse Practitioner
  • Montgomery, LA
  • NPI 1578947701
  NPD (past)
• Winn Community Health Center, Inc.

  • Family Nurse Practitioner
  • Colfax, LA
  • NPI 1952785040
  NPD (past)
• Winn Community Health Center, Inc.

  • Family Nurse Practitioner
  • Georgetown, LA
  • NPI 1972987105
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1871564807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W LAFAYETTE ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833463",
            "telephone_number": "318-648-0375",
            "fax_number": "318-648-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LAFAYETTE ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833463",
            "telephone_number": "318-648-0375",
            "fax_number": "318-648-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTEDT",
        "first_name": "JENNETTE",
        "middle_name": "SEPULVADO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "021307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655724",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Everett Bailey, BCBA
• Beverly Barnum
• Victoria Meredith Bates, MS, LDN, RD
• Caroline S. Battles, M.D.
• Behavioral Specialists 2 LLC (Behavioral Specialists of Louisiana)
• Bio-Medical Applications of Louisiana, LLC (Bma Winnfield)
• David A Bish, D.C.
• April Boyett, PHARMD
• Mary Sue Branch, D.C.
• Brenda Joan Brannon, LPTA

• Pediatrics Physician in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.