Elvia Angelica Berry, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP3187 Issued in AZ

Practice address

6818 W Thunderbird Rd
Peoria, AZ 85381-5025

Phone

(623) 566-3550

Fax

(623) 566-3573

NPI assigned

Jan 30, 2009

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Clinical Studies, LLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1851659106
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1114165073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W SILVER SAGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855740",
            "telephone_number": "623-977-9657",
            "fax_number": "623-583-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815025",
            "telephone_number": "623-566-3550",
            "fax_number": "623-566-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELVIA",
        "middle_name": "ANGELICA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3187",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN098573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409313",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Marie Beougher, PHARMD
• Paulette Marie Bergounous, M.S.
• Amy Filhart Bergstrom, RPH
• Rita Berkley
• Elsa Bernal
• Kelsey Berryman
• Best Life Counseling, PLLC
• Ravi Bhalla, M.D.
• Varun Bhalla, M.D.
• Nisha L Bhatia, M.D.

• Adult Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.