MICHELLE BERRY (NPI# 1699080689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699080689 |
| Entity Type | Individual |
| Full Name | MICHELLE BERRY |
| Credential | RN |
| Practice Address |
3219 Central Ave Kearney NE 68847-2949 |
| Practice Telephone | 3088652263 |
| Practice Fax Number | 3088652541 |
| Mailing Telephone | 3088652263 |
| Mailing Fax Number | 3088652541 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 2011-0243 | NE | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023559572 | Michelle Berry | Point of Service | 532 N Bryant St, Portland, OR 97217-1771 | 2017-03-16 |
| 1942498266 | Michelle P Berry | Specialist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | 2007-10-11 |
| 1083133425 | Michelle Berry | Physician Assistant | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2017-09-18 |
| 1992930978 | Michelle Nicole Berry | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2009-05-20 |
| 1033194527 | Michelle D Berry | Family Medicine | 1201 S Main St, Ste 110, Boerne, TX 78006-2833 | 2005-12-07 |
| Street Address |
3219 CENTRAL AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979950 | Sean Denney | Internal Medicine | 3219 Central Ave, Kearney, NE 68847-2949 | 2005-08-15 |
| 1386097467 | Taya Nicole O'brien | Nurse Practitioner | 3219 Central Ave, Ste. 201, Kearney, NE 68847-2949 | 2016-07-13 |
| 1407207335 | Kiley Wall | Occupational Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-06-22 |
| 1407205867 | Adam Liess | Physical Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-06-07 |
| 1396102760 | Miranda Little | Occupational Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2016-01-15 |
| 1487026092 | Jordan Kershaw | Physical Therapist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2015-10-21 |
| 1558744276 | Alexa Thiel | Speech-Language Pathologist | 3219 Central Ave, Suite 105, Kearney, NE 68847-2949 | 2015-06-30 |
| 1205228301 | Meghan Marguerite Freeze | Registered Nurse | 3219 Central Ave, Ste 200, Kearney, NE 68847-2949 | 2015-02-26 |
| 1437541018 | Chelse Krohn | Speech-Language Pathologist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2015-02-19 |
| 1558752121 | Kylee Saathoff | Occupational Therapist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2015-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
Please comment or provide details below to improve the information on MICHELLE 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.