Active NPI
Leyla Q Berry, MSN, RN, CNE, FNP-C
- Family Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1003345729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704278404
- Practice address
- 207 Fletcher St
Ann Arbor, MI 48109-1050 - Phone
- (734) 764-8320
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704278404 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704278404 | MI | Primary |
Addresses
Primary practice location
207 Fletcher St
Ann Arbor, MI 48109-1050
Mailing address
207 Fletcher St
Ann Arbor, MI 48109-1050
Phone (734) 764-8320
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Other practice location 2
207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704278404 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield City Urgent Care PC | Current | Accepting new patients | |
| Regents of the University of Michigan-Uhs-University Health Ser | Current | Accepting new patients |
Locations
207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320
23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1265610570
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1811278716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1003345729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FLETCHER ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091050",
"telephone_number": "734-764-8320",
"fax_number": "734-647-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FLETCHER ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091050",
"telephone_number": "734-764-8320"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 Fletcher St",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "48109",
"country_code": "US",
"telephone_number": "734-764-8320",
"fax_number": "734-647-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "LEYLA",
"middle_name": "Q",
"credential": "MSN, RN, CNE, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704278404",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704278404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.