Patricia Sue Berry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27046717A Issued in IN

Practice address

303 Twin Oaks Dr.
Middlebury, IN 46540

Phone

(574) 202-5462

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1043460652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 152",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540",
            "telephone_number": "574-202-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TWIN OAKS DR.",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540",
            "telephone_number": "574-202-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27046717A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adec - Middlebury Men
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• Megan Dawn Bjorklund, D.C.
• Tara L Breniser, LMT, MMP
• Tamara Kay Coney, FNP
• Craig R Yoder DDS PC
• Crystal Valley Family Dentistry, P.C.

• Licensed Practical Nurse in Middlebury, IN
• Providers in Middlebury, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.