Adrienne Leigh Berry

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

4563 Pluto Rd
Shady Spring, WV 25918-8064

Phone

(304) 575-6080

NPI assigned

Jul 17, 2025

Last updated

Aug 6, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1124910807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4563 PLUTO RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188064",
            "telephone_number": "304-575-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4563 PLUTO RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188064",
            "telephone_number": "304-575-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ADRIENNE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm Christopher Arnold
• Shannon Raquel Arnold
• Heather Bailey
• Herbert J Baker
• Jessica Celine Barber
• Jaclyn Ruth Bolen, LICSW
• Crystal Ann Bragg
• Melissa Gail Bragg
• Shane Edward Bragg
• Lesa J Buckland, MASTERS HS

• Early Intervention Provider Agency in Shady Spring, WV
• Providers in Shady Spring, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.