Individual provider Active NPI

Teresa Hurt Berry, RN

  • School Registered Nurse
  • Saluda, SC
National Provider Identifier
1205440807
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
53622 Issued in SC
Practice address
140 Ivory Key Rd
Saluda, SC 29138-8177
Phone
(864) 445-3767
Fax
(864) 445-3980
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 53622 SC Primary

Addresses

Primary practice location

140 Ivory Key Rd
Saluda, SC 29138-8177

Mailing address

140 Ivory Key Rd
Saluda, SC 29138-8177
Phone (864) 445-3767

Other identifiers 1

IdentifierTypeStateIssuer
1063463685MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tberry@saludaschools.org

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
53622SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1205440807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 IVORY KEY RD",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291388177",
            "telephone_number": "864-445-3767",
            "fax_number": "864-445-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 IVORY KEY RD",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291388177",
            "telephone_number": "864-445-3767",
            "fax_number": "864-445-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TERESA",
        "middle_name": "HURT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "53622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063463685",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tberry@saludaschools.org",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "140 Ivory Key Rd",
            "city": "Saluda",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291388177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saluda, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.