Individual provider Active NPI

Rosalind Rebecca Berry, APRN

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1033534342
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58045 Issued in WV
Practice address
275 Dry Hill Road
Beckley, WV 25801
Phone
(304) 253-6060
Fax
(304) 929-2248
NPI assigned
Feb 23, 2014
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 58045 WV Primary

Addresses

Primary practice location

275 Dry Hill Road
Beckley, WV 25801

Mailing address

275 Dry Hill Road
Beckley, WV 25801
Phone (304) 253-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140520000953 WV Practitioner - Nurse Practitioner 2163645144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 252-0641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58045WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC CurrentSince Jan 1, 2022 Accepting new patients
Tug River Health Association, Inc CurrentSince Apr 1, 2014 Accepting new patients
Beckley Oncology Associates Inc CurrentSince Jun 20, 2015 Accepting new patients
Raleigh General Hospital LLC CurrentSince Jan 1, 2022 Accepting new patients
Tug River Health Association, Inc CurrentSince Apr 1, 2014 Accepting new patients
Raleigh General Hospital Past Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

198 Carriage Dr
Beckley, WV 25801
Phone (304) 256-4348

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

Interoperability endpoints

  • Direct secure messaging: rosalind.berry.1@20211.direct.athenahealth.com
  • Direct secure messaging: rosalind.berry@wvafn.hcadirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1033534342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 DRY HILL ROAD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-253-6060",
            "fax_number": "304-929-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 DRY HILL ROAD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-253-6060",
            "fax_number": "304-929-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ROSALIND",
        "middle_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.