MS. MYRA LEA BERRY (NPI# 1942504378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942504378 |
| Entity Type | Individual |
| Full Name | MS. MYRA LEA BERRY |
| Credential | APRN |
| Practice Address |
800 W Forrest Ave Eufaula OK 74432-3249 |
| Practice Telephone | 9186892547 |
| Practice Fax Number | 9186891127 |
| Mailing Telephone | 9186892547 |
| Mailing Fax Number | 9186891127 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71865 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200335460A | 05 |
| Street Address |
800 W FORREST AVE |
| City | EUFAULA |
| State | OK |
| Zip Code | 74432-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894419 | Billy C Beets Jr. | Family Medicine | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2006-07-18 |
| 1710497441 | Sheryl Wesley Angel | Nurse Practitioner | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2017-10-08 |
| 1073040358 | Ross Lucas Forrester | Dentist | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2017-05-17 |
| 1740727809 | Kelsey M Two Bears | Physician Assistant | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2017-01-27 |
| 1750733317 | Marjorie Santos | Registered Nurse | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2016-07-07 |
| 1700024114 | Kathy Luann Alford-durbin | Dietitian, Registered | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2009-01-23 |
| 1407003999 | Rachel M. Kasika | Dietitian, Registered | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2008-08-26 |
| 1497934335 | Creek Nation Hospital & Clinics | Clinic/Center | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2007-10-28 |
| 1275724049 | Creek Nation Hospital and Clinics Board | Clinic/Center | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2007-08-07 |
| 1326153446 | Amanda K. Burns | Pharmacist | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272249 | Carlton Landing Academy | Local Education Agency (LEA) | 10 Blvd Carlton Landing, Eufaula, OK 74432 | 2018-10-25 |
| 1780169631 | Kristin Corbin | Registered Nurse | 500 Eunice Burns, Eufaula, OK 74432 | 2018-09-26 |
| 1831670934 | Brandy Nicole Chiles | Registered Nurse | 500 Eunice Burns Road, Eufaula, OK 74432 | 2018-08-27 |
| 1922527506 | Rebekah Lea Mason | Counselor | 16820 State Highway 9 East, Eufaula, OK 74432 | 2017-09-14 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1881127561 | Charity Brady | Physical Therapist | 29 Hospital Rd, Eufaula, OK 74432 | 2017-04-10 |
| 1700209145 | Beverly Mefford | Social Worker | 104 Alexander Dr., Eufaula, OK 74432 | 2014-01-21 |
| 1649551177 | Cynthia Paula Vanpool | Case Manager/Care Coordinator | Rural Route 1 Box 131 C, Eufaula, OK 74432 | 2011-08-29 |
| 1285938621 | Drs Odom Coburn and Richardson Pllc | Optometrist | 403 S Main, Eufaula, OK 74432 | 2010-12-28 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| Find all providers in zip 74432 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649588385 | Merren Maddox | Nurse Practitioner | 634 School St, Eufaula, AL 36027-2430 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729920 | Sheila Metzger | Nurse Practitioner | 2550 W Franklin Rd, Norman, OK 73069-8012 | 2020-01-17 |
| 1295380269 | Meisha Hall | Nurse Practitioner | 2508 W Huntsville St, Broken Arrow, OK 74011-6124 | 2019-08-07 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1437695715 | Erika Rumble | Nurse Practitioner | 10901 E 48th Street S, Tulsa, OK 74146-5830 | 2017-01-11 |
| 1083073365 | Kendra Seccombe | Nurse Practitioner | 161 Eco Friendly Dr, Suite 201, Muskogee, OK 74401-5100 | 2016-02-16 |
| 1710384870 | Melisa Dean | Nurse Practitioner | 700 S Telephone Rd Ste 401, Moore, OK 73160-2548 | 2014-12-04 |
| 1356766315 | Brianna Weathers | Nurse Practitioner | 401 W Tamarack Rd, Altus, OK 73521-1529 | 2014-02-27 |
| 1932473568 | Julie Claire Styles | Nurse Practitioner | 1540 N Lewis Ave, Tulsa, OK 74110-2535 | 2012-02-29 |
| 1376825596 | Jaclyn Danielle Maphies | Nurse Practitioner | 800 N.e. 10th Street, Suite 2100, Oklahoma City, OK 73104-5418 | 2011-09-14 |
| 1104124502 | Toby Lea Miller | Nurse Practitioner | 1603 W 9th Ave, Stillwater, OK 74074-5202 | 2011-03-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. MYRA LEA 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.