Kerry Kathleen Berghoff, NP
Nurse Practitioner in Chandler, AZ. Individual provider (NPI-1).
NPI number1093095671
StatusActive
Last updated in NPPESAug 26, 2011
Details
- NPI
- 1093095671
- Entity type
- Individual (NPI-1)
- Name
- Kerry Kathleen Berghoff
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2011
- Last updated
- Aug 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP4133 | AZ | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP4133 | AZ |
Practice location
705 S Dobson RdChandler, AZ 85224-5657
Phone 480-850-2873
Mailing address
705 S Dobson RdChandler, AZ 85224-5657
Phone 480-850-2873
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