AMY MARIE BERTHA


Address: New Center One/endocrinology/metabolism, 3031 W. Grand Blvd, Detroit, MI 48202
Phone: 3139169658

AMY MARIE BERTHA (NPI# 1750801023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750801023
Entity Type Individual
Full Name AMY MARIE BERTHA
Practice Address New Center One/endocrinology/metabolism
3031 W. Grand Blvd
Detroit
MI 48202
Mailing Address 16718 Fairway St
Livonia
MI 48154-2116
Practice Telephone 3139169658
Enumeration Date 2017-06-27
Last Update Date 2017-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704263537 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address NEW CENTER ONE/ENDOCRINOLOGY/METABOLISM
3031 W. GRAND BLVD
City DETROIT
State MI
Zip Code 48202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629616511 Nursing Practice Corporation Nurse Practitioner 1550 Taylor St, Detroit, MI 48206-2081 2019-12-11
1578026076 Julia Christine Zaddock Nurse Practitioner 12800 Toronto St., Detroit, MI 48217 2019-04-11
1629552112 Katelyn E. Hamann Nurse Practitioner Children's Hosptial of Mi, 3901 Beaubien - 2nd Fl - Carl's Bldg, Detroit, MI 48201-2119 2018-09-20
1376077107 Maryam Hakemi Nurse Practitioner 3990 John R. St., Harper University Hospital, Detroit, MI 48201 2017-04-19
1841748076 Jennifer N. Watson Nurse Practitioner 3950 Beaubien - Ground Fl, Children's Hospital of Mi, Detroit, MI 48201-2153 2016-09-16
1891164323 Cheryl Barratt Nurse Practitioner Children's Hospital of Mi - Er, 3901 Beaubien, Detroit, MI 48201 2015-09-15
1730556291 Markita Marie Thompson Nurse Practitioner 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 2015-08-31
1316372980 Sarah Kironde Nurse Practitioner 7700 2nd Avenue, Detroit, MI 48202 2013-09-13
1679917322 Arlanda Latrice Smith Nurse Practitioner 8904 Woodward Ave, Detroit, MI 48202-1821 2013-04-24
1720323413 Enovwo Emekpe Nurse Practitioner 2425 Tuxedo St, Detroit, MI 48206-1222 2012-12-06
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

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.

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