Teri Joyce Berry, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009350 Issued in IL

Practice address

9521 Rakers Rd
Carlyle, IL 62231-3209

Phone

(618) 401-0861

NPI assigned

Jan 18, 2012

Last updated

Dec 31, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: teri.berry@743992428068868.direct.elationemr.com
• Direct secure messaging: teri.berry@91098514915332.direct.elationemr.com

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.

• Ayble Health Service Corporation

  • Clinic/Center
  • Chicago, IL
  • NPI 1831939636
  NPD (past)
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1114298437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 RAKERS RD",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622313209",
            "telephone_number": "618-401-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 RAKERS RD",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622313209",
            "telephone_number": "618-401-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TERI",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209009350",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Surgical Technology, LLC (AST Primary Care Carlyle)
• Stephen Arnold, PHARMD
• Bradley Alan Auten
• Kayla A Barnes
• Angela Becker, MS, CCC, SLP
• Milinda A Birkner, OTD,OTR/L
• Bloom With Hope PLLC
• Amanda Beth Boeing, LSW
• Alberto Butalid, MD
• Brynn Byrd

• Family Nurse Practitioner in Carlyle, IL
• Providers in Carlyle, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.