Telisha A A Berry
Individual provider Active NPI Attendant Care Provider · McCordsville, IN
NPI 1083397327 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1083397327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- License
- 23-015716
- Practice address
- 6619 Eagles Nest LN
McCordsville, IN 46055-0050 - Phone
- (317) 496-1540
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyful Life LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 23-015716 | Yes |
Addresses
Primary practice location
6619 Eagles Nest LN
McCordsville, IN 46055-0050
Mailing address
6619 Eagles Nest LN
McCordsville, IN 46055-0050
Phone (317) 496-1540
Other providers in McCordsville, IN
- Patricia Adeleye
- Brian Gilbert Aguilar
- Audrey Anne Augustinovicz
- Nalini A Bangalore
- Nicholas E. Bantz
All providers in McCordsville, IN · Attendant Care Provider in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.