Berndt, Kimberly Jean
Berndt, Kimberly Jean is an sole proprietor health care provider with primary practice located at 2810 Crossroads Dr Ste 4000 , Madison WI 53718-8014. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Berndt, Kimberly Jean can be contacted via phone (855) 300-9893.Contact Information
Primary practice address
2810 Crossroads Dr Ste 4000
Madison WI 53718-8014
Phone: (855) 300-9893
Fax: (855) 300-9893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 174079-030 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | 174079-030 | Wisconsin |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 8912-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 174079-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 172631 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 8912-33 | Wisconsin |
Profile Details
| NPI number | 1083923049 |
|---|---|
| LBN Legal business name | Berndt, Kimberly Jean |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2010 |
| Last updated | Sep 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083923049 | NPPES |
| Wisconsin | MEDICAID | 100083956 | |
| Wisconsin | MEDICAID | 100083911 | |
| Wisconsin | MEDICAID | 100126024 |
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