NPIMap

Individual provider Active NPI

Linda Gail Berry, FNP

  • Family Nurse Practitioner
  • Galena, AK
National Provider Identifier
1356645097
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 1804892 Issued in FL
Practice address
77 Antoski Rd
Galena, AK 99741
Phone
(907) 656-1366
NPI assigned
Jan 10, 2011
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 ARNP 1804892 FL Primary

Addresses

Primary practice location

77 Antoski Rd
Galena, AK 99741

Mailing address

1124 W Riverside Ave Ste 400
Spokane, WA 99201-1109
Phone (385) 590-0044

Other practice location 1

1702 S Jefferson St
Perry, FL 32348-5611
Phone (855) 577-5437

Other identifiers 1

IdentifierTypeStateIssuer
004593200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928002463 TX Practitioner - Nurse Practitioner 3678744398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kodiak Area Native AssociationGroup PAC ID 8426959297, 36 clinicians

Practice addresses (Care Compare)

3449 E Rezanof Dr
Alutiiq Enwia
Kodiak, AK 99615-6952
Phone (907) 486-9800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 1804892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic CurrentSince Sep 8, 2020 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Thoreau Clinic CurrentSince Sep 8, 2020 Accepting new patients
Kodiak Area Native Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.berry.1@28226.direct.athenahealth.com
  • Direct secure messaging: lindaberry@lpp.opdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1356645097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W RIVERSIDE AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011109",
            "telephone_number": "385-590-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ANTOSKI RD",
            "city": "GALENA",
            "state": "AK",
            "postal_code": "99741",
            "telephone_number": "907-656-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323485611",
            "country_code": "US",
            "telephone_number": "855-577-5437",
            "fax_number": "850-838-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LINDA",
        "middle_name": "GAIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 1804892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004593200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, AK

Sources for this page

Verify at the official NPI Registry.