Individual provider Active NPI

Caroline Leigh Bergstresser, WHNP

  • Women's Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1902201692
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R229355 Issued in MD
Practice address
97 Thomas Johnson Dr Ste 101
Frederick, MD 21702
Phone
(301) 663-4545
Fax
(301) 663-1709
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024171826 VA
Women's Health Nurse Practitioner 363LW0102X R229355 MD Primary

Addresses

Primary practice location

97 Thomas Johnson Dr Ste 101
Frederick, MD 21702

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

8900 Columbia 100 Pkwy Ste E
Columbia, MD 21045-2336
Phone (443) 380-0060

Other practice location 2

8900 Columbia 100 Pkwy Ste E
Columbia, MD 21045-2336
Phone (443) 380-0060

Other practice location 3

1101 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2409
Phone (757) 481-3366

Other identifiers 1

IdentifierTypeStateIssuer
1902201692MedicaidMD

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R229355MDMDWomen's Health Nurse Practitioner
0024171826VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Art & Science of OB-GYN, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/823/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1902201692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-663-4545",
            "fax_number": "301-663-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Columbia 100 Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452336",
            "country_code": "US",
            "telephone_number": "443-380-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Columbia 100 Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452336",
            "country_code": "US",
            "telephone_number": "443-380-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 First Colonial Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542409",
            "country_code": "US",
            "telephone_number": "757-481-3366",
            "fax_number": "757-496-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGSTRESSER",
        "first_name": "CAROLINE",
        "middle_name": "LEIGH",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024171826",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R229355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902201692",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.