Carolyn L Berry-Pettit, CNS

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

NS01128 Issued in OH

Practice address

621 Broadway St
Portsmouth, OH 45662-4788

Phone

(740) 961-4011

Fax

(740) 961-4010

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• George P Pettit MD Inc

  • Obstetrics & Gynecology Physician
  • Portsmouth, OH
  • NPI 1619996626
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1083669733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MARKET ST",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619757",
            "telephone_number": "740-289-2371",
            "fax_number": "740-289-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-961-4011",
            "fax_number": "740-961-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-PETTIT",
        "first_name": "CAROLYN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "OH",
            "license": "NS01128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Bentley
• Robin Bentley
• Tracie Bentley
• Denise Berndt, CDCA
• Philip Russell Berndt, PRS
• Joshua Bethel
• Sarah J Betson
• Ronelle L Betts, M.D.
• Amanda L Biars
• Ashley L Biars, LCDCII

• Women's Health Clinical Nurse Specialist in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Women's Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.