JESSICA BERRY (NPI# 1710379508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710379508 |
| Entity Type | Individual |
| Full Name | JESSICA BERRY |
| Credential | CPNP |
| Practice Address |
2901 216th St Bayside NY 11360-2810 |
| Mailing Address |
11855 224th St Cambria Heights NY 11411-2109 |
| Practice Telephone | 7182818800 |
| Mailing Telephone | 3473921270 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382492 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887181 | Jessica Marie Berry | Optometrist | 45 Lyme Rd Ste 201, Hanover, NH 03755-1260 | 2019-08-26 |
| 1265928964 | Jessica Berry | Physician Assistant | 160 River Bend Dr Ste A, Granite Falls, NC 28630-9371 | 2018-07-05 |
| 1982092961 | Jessica Berry | Speech-Language Pathologist | 4699 Charleston Hwy, Rowesville, SC 29133-9400 | 2014-12-29 |
| 1841544731 | Jessica L Berry | Doula | 1240 Portland Ave, Saint Paul, MN 55104-6945 | 2012-10-31 |
| 1326222498 | Jessica Maria Berry | Physical Therapist | 5411 W Carson Rd, Laveen, AZ 85339-6972 | 2007-12-24 |
| 1881292142 | Jessica Berry | Physical Therapist | 8500 W Crestline Ave Unit G5, Littleton, CO 80123-2222 | 2020-10-09 |
| 1710591730 | Jessica Lena Berry | Speech-Language Pathologist | 1036 N Main St, Hillsville, VA 24343-1129 | 2020-09-08 |
| 1932734589 | Jessica Berry | Massage Therapist | 160 Roy St # 4162, Seattle, WA 98109-4162 | 2020-03-04 |
| 1467095000 | Jessica Nicole Berry | Registered Nurse | 3100 W Central Ave Ste 250, Toledo, OH 43606-2957 | 2019-10-27 |
| 1376020917 | Jessica M. Berry | Nurse Practitioner | 606 W Wilbur Mills Ave, Kensett, AR 72082-9051 | 2018-07-26 |
| Street Address |
2901 216TH ST |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794798 | Paul Michael Berger-gross | Clinical Neuropsychologist | 2901 216th St, Bayside, NY 11360-2810 | 2005-07-21 |
| 1891308409 | Kristina Hartig | Nurse Practitioner | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-25 |
| 1417567991 | Angela Sora Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-09 |
| 1801411053 | Mary Beth Hollywood | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-06-13 |
| 1174145486 | Savannah Rose Yablonski | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2020-05-08 |
| 1780229179 | Dilia Rivera | Dietitian, Registered | 2901 216th St, Bayside, NY 11360-2810 | 2019-11-09 |
| 1003374737 | Natasha Hayden | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2019-03-12 |
| 1649746595 | Samantha Petrakis | Nursing Care | 2901 216th St, Bayside, NY 11360-2810 | 2018-10-18 |
| 1447745070 | Sheena Coley | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-06-26 |
| 1184126104 | Zhiling Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1568652014 | Jokathleen Castro Rodriguez | Nurse Practitioner | 2901 216th Street, Bayside, NY 11360-2810 | 2007-07-31 |
| 1548339765 | Regina Marie Baird | Nurse Practitioner | 2901 216th St, Bayside, NY 11360-2810 | 2006-11-06 |
| 1851478630 | Lois Schroeder Weston | Nurse Practitioner | 2901 216th St, St Marys Hospital for Children, Bayside, NY 11360-2810 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA 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.