DEBRA BERRY (NPI# 1104119767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104119767 |
Entity Type | Individual |
Full Name | DEBRA BERRY |
Credential | APRN |
Practice Address |
5216 Clayton Ct Fort Myers FL 33907 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393438260 |
Practice Fax Number | 2393438261 |
Mailing Telephone | 2393438260 |
Mailing Fax Number | 2393438261 |
Enumeration Date | 2011-05-16 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN9269907 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003511500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518083633 | Debra Lynn Berry | Genetic Counselor, MS | 4815 Liberty Ave Ste Gr59, Pittsburgh, PA 15224-2156 | 2007-03-21 |
1801931308 | Debra Berry | Speech-Language Pathologist | 5621 Delmar Blvd Apt 304, Saint Louis, MO 63112-2622 | 2007-02-21 |
1528411394 | Debra H Berry | Nurse's Aide | 800 Goingsnake St, Tahlequah, OK 74464-3133 | 2016-07-18 |
1689029019 | Debra L Berry | Nurse's Aide | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2016-05-04 |
1902291156 | Debra Berry | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 800904, Charlottesville, VA 22908-0816 | 2015-04-04 |
1801120464 | Debra Lynn Berry | Nurse Practitioner | 16538 Air Center Blvd, Suite 100, Houston, TX 77032-5144 | 2009-09-29 |
1952412603 | Debra Martin Berry | Pediatrics | 10099 Ridgegate Pkwy, Conifer Building Suite 290, Lone Tree, CO 80124 | 2006-08-31 |
1912016197 | Debra Berry | Nurse Practitioner | 601 Elmwood Ave, Box278984, Rochester, NY 14642-0001 | 2006-08-30 |
Street Address |
5216 CLAYTON CT |
City | FORT MYERS |
State | FL |
Zip Code | 33907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295815298 | Christina Marie Brushaber | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2006-10-16 |
1669019907 | Maranda Earl | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-12-05 |
1871142430 | Kelly Ann Brown | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-09-06 |
1023571759 | Samantha Head | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-04-10 |
1962964007 | Tiara Amber Phillips | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-04-05 |
1578082996 | Joshua Clayton Lomen | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2017-09-18 |
1437600285 | Justin William Harlacher | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2016-10-17 |
1871954339 | Ernesto Acosta | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2016-03-11 |
1629452271 | Jenevieve Perry | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2015-07-14 |
1235532474 | Jeffrey Jordan | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2014-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
Find all providers in zip 33907 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
1710317086 | Robert Mark Payne | Nurse Practitioner | 8255 College Pkwy Ste 200, Fort Myers, FL 33919-5119 | 2013-11-22 |
1356621338 | Care Practitioners LLC | Nurse Practitioner | 9174 River Otter Dr, Fort Myers, FL 33912-8920 | 2011-08-23 |
1306943758 | Nadine Elizabeth Gordon | Nurse Practitioner | 6360 Techster Blvd, Ste 1, Fort Myers, FL 33966-4805 | 2006-09-20 |
1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
1871142430 | Kelly Ann Brown | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-09-06 |
1841751468 | Sandra Jean Craig | Nurse Practitioner | 13778 Plantation Rd, Fort Myers, FL 33912-4301 | 2019-03-27 |
1861963332 | Aimee Cassandra Routzong | Nurse Practitioner | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905-7810 | 2018-12-10 |
1265907596 | Renato John Tolu | Nurse Practitioner | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905-7810 | 2018-10-13 |
1467944116 | Clarice B Wei | Nurse Practitioner | 16261 Bass Rd Ste 300, Fort Myers, FL 33908 | 2018-05-30 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33907 |
Please comment or provide details below to improve the information on DEBRA BERRY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.