Active NPI
Sharin Lynn Berger, PA-C
- Medical Physician Assistant
- Louisville, CO
National Provider Identifier
1992966279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 472
- Practice address
- 928 Treece St
Louisville, CO 80027-8511 - Phone
- (303) 931-5326
- NPI assigned
- Jun 19, 2008
- Last updated
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 472 | CO | Primary |
Addresses
Primary practice location
928 Treece St
Louisville, CO 80027-8511
Mailing address
928 Treece Street
Louisville, CO 80027
Phone (303) 931-5326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07004724 | Medicaid | CO |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 472 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Flatirons Spine & Joint Health LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clinica Family Health
- Clinic/Center
- Boulder, CO
- NPI 1184613234
-
dba Boulder Valley Family Practice
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1447318225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1992966279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 TREECE STREET",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "80027",
"telephone_number": "303-931-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 TREECE ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800278511",
"telephone_number": "303-931-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "SHARIN",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07004724",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.