Berkshire Nurse Pratitioners, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BERKSHIRE NURSE PRATITIONERS, LLC

Practice address

610 North St
Pittsfield, MA 01201-4105

Phone

(413) 447-7511

NPI assigned

Jun 7, 2007

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Washburn, FNP-C

Title

President

Phone

(413) 447-7511

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1881897767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014105",
            "telephone_number": "413-447-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014105",
            "telephone_number": "413-447-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE NURSE PRATITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-447-7511",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10013041",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "M19195",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "661547",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "00033474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "00033474",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9755730",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medical Center, Inc.
• Berkshire Medical Group PC
• Berkshire Medicine Inc.
• Berkshire Orthodontics
• Berkshire Orthopaedic Associates, Inc. (Berkshire Sports & Physical Therapy)
• Berkshire Orthopaedic Associates, Inc.
• Berkshire Orthopaedic Associates, Inc. (Berkshire Hand Therapy)
• Berkshire Osteopathic Health, LLC

• Nurse Practitioner in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.