Individual provider Active NPI

Constance Ann Bergene, REGISTER NURSE

  • Rehabilitation Registered Nurse
  • Denver, CO
National Provider Identifier
1962601757
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
RN438242 Issued in CA
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

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
RN438242CAMDRehabilitation 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.

Verify at the official NPI Registry.