Sue Ann Berend, PH.D.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

DI38592 Issued in FL

Practice address

1471 Raymond Edwards Rd
Henrietta, TX 76365-7297

Phone

(505) 690-8357

NPI assigned

Aug 22, 2007

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1043403231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 RAYMOND EDWARDS RD",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763657297",
            "telephone_number": "505-690-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 RAYMOND EDWARDS RD",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763657297",
            "telephone_number": "505-690-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREND",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "DI38592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH",
            "identifier": "BERES1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH SERVICES",
            "identifier": "DRM42",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH",
            "identifier": "DI38592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wes Bailey, LPC
• Angela Marie Belcher
• Kathy Lynn Benz, RN LMT
• Clay County Hospital DME
• Clay County Memorial Hospital
• Clay County Memorial Hospital
• County of Clay (CCMH Clinics)
• County of Clay (Clay County Memorial Hospital)

• Ph.D. Medical Genetics in Henrietta, TX
• Providers in Henrietta, TX by specialty
• Ph.D. Medical Genetics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.