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ANDREA ILENE BERGHOLTZ MSN, RN, CHPN
NPI 1356956619
Registered Nurse - Home Health in Thousand Oaks, CA

Active since September 14, 2020
72 MOODY CT, THOUSAND OAKS, CA 91360(805) 371-9988(805) 371-9987 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Ilene Bergholtz Msn, Rn, Chpn NPPES

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

ANDREA ILENE BERGHOLTZ MSN, RN, CHPN (NPI 1356956619) is an individual home health provider in Thousand Oaks, California, licensed in California (781694) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1356956619
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameANDREA ILENE BERGHOLTZCredential: MSN, RN, CHPN
Location Address72 MOODY CTThousand Oaks, CA 91360-6067
Mailing Address72 Moody CtThousand Oaks, CA 91360-6067 · (805) 371-9988 · Fax (805) 371-9987
Phone(805) 371-9988
Fax(805) 371-9987
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1356956619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in CA · 781694
72 MOODY CT, Thousand Oaks, CA 91360
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLIE GUGLIELMELLI M.A.
Case Manager/Care Coordinator
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MR. EDDIE LARON COURTNEY
Counselor (Mental Health)
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MELISSA NITSCH
Counselor
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MRS. JENNIE TARA BROADHURST BA DEGREE
Case Manager/Care Coordinator
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 587-5328
MR. ROBERT SOLIZ M.S.W.
Case Manager/Care Coordinator
72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
MRS. JUDITH C GERGIS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
72 MOODY CT, SUITE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
CYNTHIA CHRISTENSON LCSW
Social Worker (Clinical)
72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
MISS MELISSA BARNES MSW
Social Worker
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (858) 777-3516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bergholtz's NPI number?

The NPI number for Andrea Bergholtz is 1356956619. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Andrea Bergholtz located?

Andrea Bergholtz practices at 72 Moody Ct, Thousand Oaks, CA 91360. The listed phone number is (805) 371-9988.

What is Andrea Bergholtz's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Andrea Bergholtz was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.