LATISHIA RENEE-DENISE BERRY (NPI# 1649614009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649614009 |
| Entity Type | Individual |
| Full Name | LATISHIA RENEE-DENISE BERRY |
| Credential | ANP-BC |
| Practice Address |
880 W Long Lake Rd Troy MI 48098-4504 |
| Mailing Address |
200 Oceangate Ste 100 Long Beach CA 90802-4317 |
| Practice Telephone | 8885625442 |
| Practice Fax Number | 5625285595 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704277302 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
880 W LONG LAKE RD |
| City | TROY |
| State | MI |
| Zip Code | 48098-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1124657143 | Angela Dalton | Nurse Practitioner | 1001 S Dorset Rd # C, Troy, OH 45373-4750 | 2020-04-02 |
| 1811528029 | Alzea Dorena Rineer | Nurse Practitioner | 15900, Us -6, Troy, PA 16947-1694 | 2020-01-28 |
| 1861052565 | Hannah Grainger | Nurse Practitioner | 44199 Dequindre Rd Ste G10, Troy, MI 48085-1128 | 2019-06-17 |
| 1649736729 | Marilyn Alysse Chengo | Nurse Practitioner | 1200 Kirts Blvd Ste 200, Troy, MI 48084-4899 | 2019-02-14 |
| 1144770454 | Sarah Neal | Nurse Practitioner | 3130 N Country Rd 25 A, Troy, OH 45373-1337 | 2016-10-11 |
| 1700334125 | Diane Byrd Campbell | Nurse Practitioner | 102 Regents Dr, Troy, MI 48084-5421 | 2016-09-14 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1780901439 | Rosanna Marie Marrocco | Nurse Practitioner | 1777 Axtell Dr Ste 202, Troy, MI 48084-4435 | 2010-04-21 |
| 1982926440 | Jeanne A Elisha | Nurse Practitioner | 45 Ferry Street, Troy Ny Russell Sage College, Troy, NY 12180 | 2010-02-24 |
| Find all providers in TROY | ||||
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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.