Individual provider Active NPI

Julianne Tara Berish, CNP

  • Family Nurse Practitioner
  • Garfield Heights, OH
National Provider Identifier
1144702754
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023192 Issued in OH
Practice address
5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359
Phone
(216) 587-5431
Fax
(216) 587-5474
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023192 OH Primary

Addresses

Primary practice location

5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359

Mailing address

5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359
Phone (216) 587-5431

Other practice location 1

970 E Washington St Ste 203
Medina, OH 44256-2171
Phone (330) 721-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1144702754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD STE 220",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-587-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD STE 220",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-587-5431",
            "fax_number": "216-587-5474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 E Washington St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562171",
            "country_code": "US",
            "telephone_number": "330-721-4955",
            "fax_number": "330-721-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERISH",
        "first_name": "JULIANNE",
        "middle_name": "TARA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.