Jeanette Susan Berry, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sitka, AK
NPI 1124018486 · NPPES record last updated Jun 30, 2009
Key facts
- NPI
- 1124018486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 303 (AK)
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-8837
- Fax
- (907) 966-8807
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Center Anesthesia Group, Inc. | Past | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30006997 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 303 | AK | Yes |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8837
Other providers in Sitka, AK
- Allison Creel Bennett
- Clara Benson
- Sara Bergendahl
- Dennis Bernhoft
- James Lee Berry
- Trisha Bessert
- Grace Robbins Billok
- Jeremy Jay Bingham
- Lindsay Rhea Bird
- Joseph Blacker
All providers in Sitka, AK · Certified Registered Nurse Anesthetist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2009. 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.