Active NPI
Yvanne M Berryer, M.D.
- Specialist
- Homestead, FL
National Provider Identifier
1386602381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0063507
- Practice address
- 829 NE 4TH Avenue
Homestead, FL 33030 - Phone
- (305) 247-2475
- Fax
- (305) 357-2499
- NPI assigned
- May 2, 2006
- Last updated
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0063507 | FL | Primary |
Addresses
Primary practice location
829 NE 4TH Avenue
Homestead, FL 33030
Mailing address
829 NE 4TH Ave
Homestead, FL 33030-4720
Phone (305) 247-2475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251422200 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0063507 | FL | MD | Specialist |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Homestead, FL
- NPI 1346671104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1386602381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 NE 4TH AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304720",
"telephone_number": "305-247-2475",
"fax_number": "305-357-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 NE 4TH AVENUE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "33030",
"telephone_number": "305-247-2475",
"fax_number": "305-357-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYER",
"first_name": "YVANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "0063507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251422200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.