What is Nicole Berube's NPI number?

Nicole Berube's National Provider Identifier (NPI) is 1063075588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Berube's specialty?

Nicole Berube is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Nicole Berube located?

Nicole Berube's practice location on file with NPPES is 3511 Broadrun Dr, Fairfax, VA 22033-2164.

What is Nicole Berube's phone number?

The practice phone number listed in the NPPES registry for Nicole Berube is (703) 346-5200.

Is Nicole Berube's NPI active?

Yes — Nicole Berube's NPI (1063075588) is active in the NPPES registry as of the last update on 2019-04-19.

IndividualActive

Nicole Berube

NPI 1063075588 · Athletic Trainer · Fairfax, VA

Nicole Berube is a Athletic Trainer provider in Fairfax, VA (NPI 1063075588).

Provider details

NPI number: 1063075588
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Athletic TrainerPrimary2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3511 Broadrun Dr

Fairfax, VA 22033-2164

Phone: (703) 346-5200

Street-level locationGet directions

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Mailing address