Active NPI
Constance Ann Bergene, REGISTER NURSE
- Rehabilitation Registered Nurse
- Denver, CO
National Provider Identifier
1962601757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- RN438242
- Practice address
- 1055 Clermont St
Nursing Home Care Unit
Denver, CO 80220 - Phone
- (303) 393-4468
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | RN438242 | CA | Primary |
Addresses
Primary practice location
1055 Clermont St
Nursing Home Care Unit
Denver, CO 80220
Mailing address
2800 S Syracuse Way Apt 7-202
Denver, CO 80231-4293
Phone (303) 918-2298
Other names 1
- Ms. Connie Ann Bergene
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 |
|---|---|---|---|
| RN438242 | CA | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1962601757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S SYRACUSE WAY APT 7-202",
"city": "DENVER",
"state": "CO",
"postal_code": "802314293",
"telephone_number": "303-918-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"address_2": "NURSING HOME CARE UNIT",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "303-393-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGENE",
"first_name": "CONSTANCE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "REGISTER NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "CA",
"license": "RN438242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "BERGENE",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "REGISTER NURSE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.