Lisa B Berry, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11508-NP Issued in OH

Practice address

210 N Union St
Bethel, OH 45106-1124

Phone

(513) 734-9050

Fax

(513) 734-9051

NPI assigned

Oct 12, 2006

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

State licenses

Practice roles

Locations

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.

• Post Acute Solutions, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Kettering, OH
  • NPI 1013290683

  Family

  NPD
• Illiana Emergency Physicians LLP

  • Emergency Medicine Physician
  • Greenville, IL
  • NPI 1730426941
  NPD (past)
• Mercy Medical Center - Aurora LLC

  • Community/Retail Pharmacy
  • Aurora, IL
  • NPI 1215025762
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1144319971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "513-734-9050",
            "fax_number": "513-734-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N UNION ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451061124",
            "telephone_number": "513-734-9050",
            "fax_number": "513-734-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209003647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11508-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Altrock
• Leah Dawn Appel, DSP
• Denise Marie Behymer
• Bethany Berger
• Shelby Bergfeld
• Bethel Internal Medicine and Pediatrics LLC
• Bethel Tate Local School District
• Bethel Urgent Care
• Penny Boyd
• Linda Cooley Brasel, PA-C

• All providers in Bethel, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.