LESLIE BERRY (NPI# 1386032266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386032266 |
| Entity Type | Individual |
| Full Name | LESLIE BERRY |
| Credential | RD |
| Practice Address |
807 Childrens Way Jacksonville FL 32207-8426 |
| Practice Telephone | 9046973695 |
| Practice Fax Number | 3026514945 |
| Mailing Telephone | 9046973695 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | ND4390 | FL | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
ND4390 | FL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016602100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851531065 | Leslie Berry | Licensed Practical Nurse | 331 Locust Ave, Uniondale, NY 11553-2021 | 2009-02-27 |
| 1447473384 | Leslie Berry | Massage Therapist | 4360 Leary Way Nw, Suite D, Seattle, WA 98107-4554 | 2007-04-10 |
| 1568784601 | Leslie A Berry | Nurse Practitioner | 910 S Main St, Big Spring, TX 79720-2928 | 2010-02-16 |
| 1740302546 | Leslie Nicole Berry | Pharmacist | 130 Ravine Road, Kingsport, TN 37660 | 2007-04-04 |
| Street Address |
807 CHILDRENS WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281658 | Elizabeth A Moran | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2005-08-02 |
| 1689229213 | Madyson Marie Hund | Audiologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-08-09 |
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1679031181 | Navondria Lawson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-03-05 |
| 1952870644 | Jessica Alice Johnson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-11-25 |
| 1831676584 | Lukas Scott Hayden | Physician Assistant | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-25 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1134610470 | Rocio Krystal Rivera-valentin | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-05-22 |
| 1144726696 | Paige Marie Ryan | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174912810 | Stephanie Perry | Dietitian, Registered | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2015-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969618 | Annika Rockwell | Dietitian, Registered | 15215 Sw 51st St, Davie, FL 33331-2843 | 2020-10-12 |
| 1902410939 | Jena Cartaginese | Dietitian, Registered | 5153 N 9th Ave (pediatric Office Building), Pensacola, FL 32504-8785 | 2020-09-08 |
| 1043693856 | Laura Hatfield | Dietitian, Registered | 3101 Isalnd Inn Road, Unit #1, Sanibel, FL 33957-5612 | 2015-06-30 |
| 1487056842 | Emily Ellis | Dietitian, Registered | 5801 Argerian Dr # 103, Wesley Chapel, FL 33545-4140 | 2014-09-17 |
| 1154736213 | Maria Butler | Dietitian, Registered | 14180 Metropolis Ave, Suite 2, Fort Myers, FL 33912-4331 | 2014-06-27 |
| 1235480278 | Elizabeth A Donahue | Dietitian, Registered | 1401 S Federal Highway, Fort Lauderdale, FL 33316-2619 | 2012-10-01 |
| 1487953758 | Tania Luiza Koerber | Dietitian, Registered | 4270 Gardenia Dr, Palm Beach Gardens, FL 33410-5435 | 2011-03-25 |
| 1225335334 | Ellen Gwyn Heriot | Dietitian, Registered | 6000 W Hwy 98 Naval Hospital, Pensacola, FL 32512-0003 | 2011-02-25 |
| 1124354022 | Nancy Helen Newkirk | Dietitian, Registered | 3811 W De Leon St, Tampa, FL 33609-4412 | 2009-10-27 |
| 1194914895 | Meryl Brandwein | Dietitian, Registered | 916 Gulfstream Ct, Weston, FL 33327-2139 | 2007-10-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on LESLIE 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.