AMANDA BERRY (NPI# 1568813517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568813517 |
| Entity Type | Individual |
| Full Name | AMANDA BERRY |
| Practice Address |
1310 Wolf Park Dr Germantown TN 38138-1741 |
| Practice Telephone | 9013096035 |
| Practice Fax Number | 9013096039 |
| Mailing Telephone | 9013096035 |
| Mailing Fax Number | 9013096039 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
901607 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
901607 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
901607 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205379484 | Amanda Lauren Berry | Marriage & Family Therapist | 1967 N Dayton St, Chicago, IL 60614-5030 | 2016-11-21 |
| 1588282230 | Amanda Leigh Berry | Registered Nurse | 146 Hwy 64 E, Hayesville, NC 28904-7300 | 2020-07-09 |
| 1326696089 | Amanda Rose Wilkinson Berry | Student in an Organized Health Care Education/Training Program | 3025 Beyer Blvd, San Diego, CA 92154-3432 | 2019-08-27 |
| 1063916419 | Amanda Berry | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-21 |
| 1578876744 | Amanda Murchison Berry | Nurse Practitioner | 123 Medical Center Dr, Emergency Department, Brunswick, ME 04011-2652 | 2010-07-16 |
| 1235390238 | Amanda Wilson Berry | Nurse Practitioner | 1934 Alcoa Hwy, Suite 476, Knoxville, TN 37920-1524 | 2008-06-23 |
| 1710198601 | Amanda K. Berry | Nurse Practitioner | 34th St. and Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2007-05-24 |
| 1083651079 | Amanda Ellen Berry | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2006-05-31 |
| Street Address |
1310 WOLF PARK DR |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467732 | G I Diagnostic and Therapeutic Center LLC | Clinic/Center | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-13 |
| 1285828020 | Sarah Elizabeth Hodge | Nurse Anesthetist, Certified Registered | 1310 Wolf Park Dr, Germantown, TN 38138 | 2007-09-05 |
| 1417932492 | Gastroenterology Center of The Midsouth, P.C. | Internal Medicine | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932630324 | Munjanja Litell | Nurse Practitioner | 17300 Germantown Rd, Germantown, MD 20874-2945 | 2017-03-27 |
| 1841680915 | Angela Leah Novas | Nurse Practitioner | 19745 Executive Park Circle, Advanced Medical Care, Germantown, MD 20874 | 2015-01-28 |
| 1710213723 | Karen Armbrister | Nurse Practitioner | N114w15935 Red Oak Cir, Germantown, WI 53022-6013 | 2009-10-26 |
| 1154370377 | Mary F Haynos | Nurse Practitioner | 19701 Executive Park Cir, Germantown, MD 20874-2639 | 2006-05-06 |
| 1477001055 | Amy N Kaiser | Nurse Practitioner | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2016-09-13 |
| 1871999235 | Maria Aguda | Nurse Practitioner | 19735 Germantown Rd, Ste 300, Germantown, MD 20874-1214 | 2014-11-13 |
| 1598184574 | Leann Maxwell | Nurse Practitioner | 7945 Wolf River Blvd, Suite 280, Germantown, TN 38138-1762 | 2014-04-07 |
| 1760827745 | Melissa C Barnes | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2013-05-06 |
| 1114228087 | Tania L Addess | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2010-11-09 |
| 1053519207 | Lisa Renee Rader | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2007-07-10 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on AMANDA 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.