Active NPI
Tricia Elizabeth Berry, ARNP
- Nurse Practitioner
- Panama City, FL
National Provider Identifier
1043370240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9191942
- Practice address
- 2505 Harrison Ave
Panama City, FL 32405-4423 - Phone
- (850) 233-3376
- Fax
- (850) 522-8354
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9191942 | FL | Primary |
Addresses
Primary practice location
2505 Harrison Ave
Panama City, FL 32405-4423
Mailing address
2505 Harrison Ave
Panama City, FL 32405-4423
Phone (850) 233-3376
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y071TZ | Other | MEDICARE | |
| 306905200 | Medicaid | FL | |
| 000302000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Associates LLC | Past | Accepting new patients | |
| Orlando Health Inc | Past | Accepting new patients |
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.
-
- Pediatric Anesthesiology Physician
- Orlando, FL
- NPI 1457489767
-
- Specialist
- Panama City, FL
- NPI 1821129313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1043370240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054423",
"telephone_number": "850-233-3376",
"fax_number": "850-522-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054423",
"telephone_number": "850-233-3376",
"fax_number": "850-522-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "TRICIA",
"middle_name": "ELIZABETH",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9191942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Y071TZ",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306905200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000302000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.