NAHDIKA A. BERRY (NPI# 1417218132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417218132 |
Entity Type | Individual |
Full Name | NAHDIKA A. BERRY |
Credential | FNP-C |
Practice Address |
11200 W Parkland Ave Milwaukee WI 53224-3127 |
Mailing Address |
200 Oceangate Ste 100 Long Beach CA 90802-4317 |
Practice Telephone | 8885625442 |
Practice Fax Number | 5624996171 |
Mailing Telephone | 5624353666 |
Mailing Fax Number | 5624996171 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2018-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 150937-030 | WI | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5018-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11200 W PARKLAND AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53224-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396036901 | Constance Lynn Cayer-wirtz | Nurse Practitioner | 11200 W Parkland Ave, Milwaukee, WI 53224-3127 | 2011-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
Find all providers in zip 53224 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
Find all providers in MILWAUKEE |
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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.