DR. LESLIE NICOLE BERRY (NPI# 1740302546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740302546 |
| Entity Type | Individual |
| Full Name | DR. LESLIE NICOLE BERRY |
| Other Name | DR. LESLIE NICOLE EDWARDS |
| Credential | PHARMD |
| Practice Address |
130 Ravine Road Kingsport TN 37660 |
| Mailing Address |
953 Afton St Kingsport TN 37660-1173 |
| Practice Telephone | 4232246850 |
| Mailing Telephone | 4233129257 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23954 | TN | Pharmacy Service Providers |
| 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 |
| 1386032266 | Leslie Berry | Dietitian, Registered | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2014-12-31 |
| 1568784601 | Leslie A Berry | Nurse Practitioner | 910 S Main St, Big Spring, TX 79720-2928 | 2010-02-16 |
| Street Address |
130 RAVINE ROAD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336389824 | James Christopher Glass | Nurse Practitioner | 130 Ravine Road, Kingsport, TN 37660 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1598388209 | Zachary Ryan Carland | Pharmacist | 121 E Ravine Rd Ste 100, Kingsport, TN 37660-3834 | 2020-05-28 |
| 1295387710 | Jessica Parker Christian | Pharmacist | 444 Clinchfield St Ste 2100, Kingsport, TN 37660-3858 | 2019-07-15 |
| 1417443110 | Emily Marie Owens | Pharmacist | 105 W Stone Dr # 3a, Kingsport, TN 37660-3365 | 2018-07-05 |
| 1376921205 | Matthew Duke Tumlin | Pharmacist | 2020 Canterbury Rd, Kingsport, TN 37660-5027 | 2015-05-12 |
| 1952794018 | Ashley Patton | Pharmacist | 4001 Grey Fox Dr, Kingsport, TN 37664-4416 | 2015-03-13 |
| 1053704106 | Trey Mcinturff | Pharmacist | 300 Clinchfield St, Kingsport, TN 37660-3855 | 2015-03-13 |
| 1154664589 | Erin Woodard | Pharmacist | 263 Old Island Trl, Kingsport, TN 37664-4275 | 2013-04-04 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1386939619 | Amy Hutchins | Pharmacist | 2626 E Stone Dr Target Pharmacy T-2332, Suite 90, Kingsport, TN 37660-5883 | 2011-06-15 |
| Find all providers in KINGSPORT | ||||
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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.