Carla Denise Berry, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

095789 Issued in TX

Practice address

3507 E Highway 350
Big Spring, TX 79720-0493

Phone

(432) 213-6146

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1174005169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LINCOLN AVE",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204820",
            "telephone_number": "432-213-6146",
            "fax_number": "432-267-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 E HIGHWAY 350",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200493",
            "telephone_number": "432-213-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CARLA",
        "middle_name": "DENISE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "095789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE NUMBER",
            "identifier": "95789",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Rhodes Baucum, DO
• William Earl Bazzell, M.D.
• Marisha Leigh Beck, AU.D., CCC-A, FAAA
• Amanda A Beecham, PMHNP-BC
• Jennifer Rene Berrigan, PHARMD
• Leslie A Berry, FNP
• Best Home Care LP
• Big Bend Medical Group
• Big Bend Medical Group
• Big Spring

• All providers in Big Spring, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.