MARY ANNE BERRY (NPI# 1578125019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578125019 |
| Entity Type | Individual |
| Full Name | MARY ANNE BERRY |
| Credential | AGNP |
| Practice Address |
101 Cabarrus Ave E Concord NC 28025-3699 |
| Practice Telephone | 8888497379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | 8888497379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024178016 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5012020 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547795 | Mary Katrina Berry | Rehabilitation Counselor | 145 Swan Lake Rd, Nortonville, KY 42442-9771 | 2020-01-09 |
| 1043409519 | Mary V Berry | Social Worker | 110 Waterview Rd, St Matthews, SC 29135 | 2007-10-19 |
| 1093881989 | Mary C. Berry | Chiropractor | 31835 124th St, Suite A, Princeton, MN 55371-3316 | 2006-11-24 |
| 1598390460 | Mary Berry | Physician Assistant | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2020-03-11 |
| 1508421025 | Mary L Berry | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-05-09 |
| 1215438452 | Mary Jane Berry | Nurse Practitioner | 901 W 38th St Ste 200, Austin, TX 78705-1165 | 2018-02-22 |
| 1730563081 | Mary Berry | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2015-07-16 |
| 1649545880 | Mary Dawn Berry | Counselor | 1221 Pierce St, Sioux City, IA 51105-1418 | 2012-03-21 |
| 1609002013 | Mary Berry | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-06-01 |
| 1740421213 | Mary Elizabeth Berry | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2009-03-13 |
| Street Address |
101 CABARRUS AVE E |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936026 | Rhonda Sanderson Lowry | Family Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2005-07-14 |
| 1013542315 | Kassie Simmons | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-03-06 |
| 1942833868 | Jennifer Dawn Tilley | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-02-19 |
| 1386275006 | Elizabeth Barnhill-blackwell | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-31 |
| 1518506997 | Christyle Rainey | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-02 |
| 1083250393 | Julia Guerrero | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-11-21 |
| 1780225458 | Oscar Njihi | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-10-03 |
| 1114583275 | Leigh W Cox | Social Worker | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-05-14 |
| 1508338542 | Kimberly Leigh Driver | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-31 |
| 1093286015 | Shadara King | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753520 | Kim Ann Eldredge | Nurse Practitioner | 10 Ferry St Ste 313, Concord, NH 03301-5004 | 2019-10-29 |
| 1306491816 | Stacie Leigh Pitts | Nurse Practitioner | 239 Pleasant St, Concord, NH 03301-7504 | 2019-08-02 |
| 1639681000 | Melissa Sue Clark | Nurse Practitioner | 2222 East St Ste 305, Concord, CA 94520-2066 | 2017-10-25 |
| 1225439128 | Lori Vaught | Nurse Practitioner | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2014-09-10 |
| 1194067546 | Kimberly Gann Burkhart | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2013-03-25 |
| 1821011792 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 239 Pleasant St, Pleasant View Nursing Center, Concord, NH 03301 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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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.