Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALLIE BERG
NPI 1306762695
Nurse Practitioner in Salt Lake City, UT

Q: What is Allie Berg's NPI number?

The NPI number for Allie Berg is 1306762695. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Q: What is Allie Berg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Allie Berg was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2026

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jul 20, 2026 (2 updates tracked since 2026).

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About Allie Berg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIE BERG (NPI 1306762695) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (12304501-3102) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1306762695

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALLIE BERG

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180 · (801) 652-6620

Phone(801) 662-1000

Sole ProprietorNo

Enumeration DateJune 29, 2026

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1306762695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 12304501-3102

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 12304501-3102 (UT)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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