Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICOLE BERG
Active
Individual
NICOLE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
171M00000X
Case Manager/Care Coordinator
DI60623977
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86047366
RDN
WA
Enumeration date
12/14/2015
Last updated
06/05/2019
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