Edwina Lynette Berry, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5005447 Issued in NC

Practice address

1309 N Elm St
Greensboro, NC 27401-1005

Phone

(336) 544-5400

Fax

(336) 544-5401

NPI assigned

Dec 12, 2011

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• County of Guilford

  dba Guilford County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Greensboro, NC
  • NPI 1245272657
  NPD

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1053689505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011005",
            "telephone_number": "336-544-5400",
            "fax_number": "336-544-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011005",
            "telephone_number": "336-544-5400",
            "fax_number": "336-544-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "EDWINA",
        "middle_name": "LYNETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Bernhardt, FNP
• Steven W Bernstorf, O.D.
• Michael Matthew Bero, M.D.
• Timothy Joseph Berrigan, MD
• Amy G. Berry, PAC
• Emily Rebecca Berry, CCC/SLP
• Jason Arthur Berry, PMHNP-BC, FNP-C
• Jonathan Jordan Berry, MD FACC
• Sierra Bertelson, PMHNP
• Bertrand Diagnostic Imaging and Breast Center, Inc.

• Adult Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.

Verify at the official NPI Registry.