MRS. CAROLYN ANN BERLIN (NPI# 1790249605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790249605 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN ANN BERLIN |
| Credential | NP |
| Practice Address |
3600 Northwest Cary Pkwy. Suite 104 Cary NC 27513 |
| Practice Telephone | 9193199219 |
| Practice Fax Number | 9194811716 |
| Mailing Telephone | 9193199219 |
| Mailing Fax Number | 9194811716 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5011366 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 NORTHWEST CARY PKWY. SUITE 104 |
| City | CARY |
| State | NC |
| Zip Code | 27513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| 1639574312 | Rebecca Wight | Occupational Therapy Assistant | 104 Cumberland Green Dr, Cary, NC 27513 | 2014-10-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558923987 | Bryanna Streit Larose | Nurse Practitioner | 115 Kildaire Park Dr Ste 301, Cary, NC 27518-8144 | 2019-07-06 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1598210957 | Holly Elizabeth Wenger | Nurse Practitioner | 300 Ashville Ave Ste 301, Cary, NC 27518-8682 | 2016-08-15 |
| 1669835260 | Neslie Joy Abando Joya | Nurse Practitioner | 1323 New Haven Dr, Cary, IL 60013-1805 | 2016-03-31 |
| 1750785333 | Kaitlin Aynsley Boos | Nurse Practitioner | 3701 Nw Cary Pkwy Ste 301, Cary, NC 27513 | 2014-10-10 |
| 1275838302 | Kelly Marie Thomas | Nurse Practitioner | 300 Keisler Dr Ste 204, Cary, NC 27518-7083 | 2011-01-21 |
| 1467768465 | Dayna Rossi | Nurse Practitioner | 501 Keisler Dr Ste 201, Cary, NC 27518-9322 | 2010-08-27 |
| 1386961316 | Jimmie K Butts | Nurse Practitioner | 100 Halpen Dr, Cary, NC 27513-5667 | 2010-04-30 |
| 1609979897 | Helen Maureen Hession | Nurse Practitioner | 110-a Preston Executive Drive, Cary, NC 27513-8457 | 2006-09-06 |
| 1427069566 | Anita K Murphy | Nurse Practitioner | 7535 Carpenter Fire Station Rd, Suite 105, Cary, NC 27519-8617 | 2006-08-11 |
| Find all providers in CARY | ||||
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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.