Takedria Mingo-Berry, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018035915 Issued in MO

Practice address

4400 E 39TH St
Kansas City, MO 64128-2818

Phone

(816) 791-7177

NPI assigned

Oct 2, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Mo PCGroup PAC ID 1254744469, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: takedria.mingo-berry.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care (Mo) PC

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1639692098

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Barnes Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, MO
  • NPI 1275219073
  Medicare reassignment NPD
• Centerwell Senior Primary Care KS PA

  • Internal Medicine Physician
  • Olathe, KS
  • NPI 1013438654

  Family Medicine

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS, MO, Nurse Practitioner

  Medicare reassignment NPD
• Barnes Health Care Management Group LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, MO
  • NPI 1396999686
  Medicare reassignment
• Centerwell Senior Primary Care (Mo) PC

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1518787076

  Family Medicine

  NPD
• Centerwell Senior Primary Care KS PA

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1013737576

  Family Medicine

  NPD
• Centerwell Senior Primary Care (Mo) PC

  • Internal Medicine Physician
  • Independence, MO
  • NPI 1649793001

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1255816591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641282818",
            "telephone_number": "816-791-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO-BERRY",
        "first_name": "TAKEDRIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018035915",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81402-052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255816591",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "takedria.mingo-berry.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4400 E 39th St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641282818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindful Shine, LLC
• Mindspace Wellness Counseling, LLC
• Jeff Miner, LPC
• Kathryn S Miner, D.O.
• Kevin Michael Miner, M.D.
• Steven C. Mingos, D.D.S.
• Lacey Mings-Upshaw, PLPC
• Gregg E Minion, MD
• Minnesota Professional Medical Services LLC
• Joshua Seth Minnis, MSW

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.