LAURA KAY BERRY (NPI# 1336700889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336700889 |
| Entity Type | Individual |
| Full Name | LAURA KAY BERRY |
| Other Name | LAURA KAY WAGNER |
| Credential | APRN, FNP |
| Practice Address |
500 Love St Erwin TN 37650-1734 |
| Practice Telephone | 4237354160 |
| Mailing Telephone | 4237354160 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25999 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164959565 | Laura Berry | Physician Assistant | 2720 Plaza Dr Ste 1100, Wausau, WI 54401-4169 | 2017-05-16 |
| 1093187072 | Laura Berry | Massage Therapist | 8635 River Rock Ct, Ball Ground, GA 30107-3592 | 2015-10-29 |
| 1376819342 | Laura L Berry | Counselor | 900 Fulton Ave # 200, Sacramento, CA 95825-4500 | 2012-03-23 |
| 1083038343 | Laura Aileen Berry | Nurse Practitioner | 104 Endicott St Ste 104, Danvers, MA 01923-3623 | 2014-02-07 |
| 1861715625 | Laura Berry | Counselor | 11370 N State Road 67, Mooresville, IN 46158-6368 | 2010-03-09 |
| 1548450919 | Laura M Berry | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | 2007-07-31 |
| Street Address |
500 LOVE ST |
| City | ERWIN |
| State | TN |
| Zip Code | 37650-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492639 | Charles G Miller II | Internal Medicine | 500 Love St, Erwin, TN 37650-1734 | 2006-05-10 |
| 1366922205 | Whitley Jade Harrison | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2018-08-20 |
| 1063755502 | Amanda Brooke Stevens | Registered Nurse | 500 Love St, Erwin, TN 37650-1734 | 2013-04-03 |
| 1619904570 | Unaka Internal Medicine, LLC | Internal Medicine | 500 Love St, Erwin, TN 37650 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1912952508 | Cynthia Dawn Lee | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2006-05-23 |
| 1114922937 | Phyllis C Fisher | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-06-17 |
| 1649889072 | Camellia Tweed | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-31 |
| 1538781216 | Ashlee Whaley | Nurse Practitioner | 108 Gay St, Erwin, TN 37650-1228 | 2020-05-15 |
| 1477115707 | Amy Lamb Ennis | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2019-07-08 |
| 1366922205 | Whitley Jade Harrison | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2018-08-20 |
| 1437638129 | Kimberly Dawn Holtsclaw | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2018-08-13 |
| 1215369921 | Victoria Lynn Osborne | Nurse Practitioner | 105 Gay St, Erwin, TN 37650-1227 | 2013-08-05 |
| 1881967479 | David Dean Herman | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2012-02-14 |
| Find all providers in ERWIN | ||||
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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.