MS. KATHLEEN M BERRY (NPI# 1174851547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174851547 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M BERRY |
| Other Name | MS. KATHLEEN M BERRY |
| Credential | FNP-BC |
| Practice Address |
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1869 |
| Practice Telephone | 6022987777 |
| Practice Fax Number | 6239306060 |
| Mailing Telephone | 6022987777 |
| Mailing Fax Number | 6239306060 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN137226 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP-3489 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942498753 | Kathleen C Berry | Counselor | 89 Lynnhaven Rd, Leominster, MA 01453-4706 | 2007-10-05 |
| 1740400613 | Kathleen Marie Berry | Social Worker | 1852 W Church St, Sandwich, IL 60548-2069 | 2007-04-26 |
| 1063919488 | Kathleen Charise Berry | Behavior Technician | 707 Civic Center Dr, Vista, CA 92084-6160 | 2018-04-11 |
| 1144494709 | Kathleen B Berry | Audiologist | 10880 Durant Rd Ste 124, Raleigh, NC 27614-6629 | 2008-04-15 |
| 1194922187 | Kathleen Diane Berry | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2007-07-02 |
| 1427275957 | Kathleen Anne Berry | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2007-04-19 |
| Street Address |
5859 W TALAVI BLVD SUITE 100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312801 | Dana Hock | Nurse Practitioner | 5859 W Talavi Blvd, Ste 100, Glendale, AZ 85306-1870 | 2005-08-02 |
| 1578984936 | Donnamarie Burris | Nurse Practitioner | 5859 W Talavi Blvd, Ste 100, Glendale, AZ 85306-1870 | 2014-01-02 |
| 1134405624 | Andrea Josephine Cachia | Physician Assistant | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2011-10-27 |
| 1629384284 | Leslie M Rach | Registered Nurse | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2010-08-20 |
| 1013151323 | John C Lincoln, LLC | Physician Assistant | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2009-04-30 |
| 1235325507 | G. Reshmaal Deepthi Gomes Cumaranatunge | Internal Medicine | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-09-20 |
| 1720286875 | Lori A Klaski | Physician Assistant | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-07-10 |
| 1508079534 | Rebecca L Reedy | Physician Assistant | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2007-05-07 |
| 1952451882 | Jeffrey William Morgan | Internal Medicine | 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306-1869 | 2007-01-11 |
| 1366530800 | Shakeel Osman Khan | Internal Medicine | 5859 W Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199481 | Steven Cleo Northern Jr. | Nurse Practitioner | 5820 W Greenway Rd Ste 124, Glendale, AZ 85306-3308 | 2020-09-17 |
| 1609493279 | Traci Marie Miramontes | Nurse Practitioner | 6001 W Northview Ave, Glendale, AZ 85301-1857 | 2020-06-30 |
| 1669097697 | Swazi Cromwell | Nurse Practitioner | 13408 N 53rd Ave, Glendale, AZ 85304-1378 | 2020-06-16 |
| 1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
| 1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
| 1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
| 1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
| 1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
| 1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
| 1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
| Find all providers in GLENDALE | ||||
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| 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.