Individual provider Active NPI

Kristina M Berry, APRN, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Lexington, KY
National Provider Identifier
1295461192
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
3017472 Issued in KY
Practice address
141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538
Phone
(859) 323-9897
Fax
(859) 257-0629
NPI assigned
Jul 25, 2022
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 3017472 KY
Advanced Practice Midwife 367A00000X 3017472 KY Primary

Addresses

Primary practice location

141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538

Mailing address

141 N Eagle Creek Dr Ste 200
Lexington, KY 40509-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417002941 KY Practitioner - Certified Nurse Midwife (CNM) 1456721521 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women First of Louisville PLLC CurrentSince Jan 1, 2025 Accepting new patients
University of Kentucky CurrentSince Apr 7, 2023 Accepting new patients

Locations

141 N Eagle Creek Dr
Ste 200
Lexington, KY 40509
Phone (859) 323-9897

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

3900 Kresge Way
Ste 30
Louisville, KY 40207
Phone (502) 891-8700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • Direct secure messaging: kberry295951@ukhcdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1295461192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N EAGLE CREEK DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N EAGLE CREEK DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092538",
            "telephone_number": "859-323-9897",
            "fax_number": "859-257-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "APRN, CNM, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3017472",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3017472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.