Individual provider Active NPI

Valarie Kershaw-Berry, FNP,DNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1407247315
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19522 Issued in TN
Practice address
6005 Park Ave Ste 826B
Memphis, TN 38119-5223
Phone
(901) 519-4680
Fax
(901) 417-8914
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X APN0000019522 TN
Family Nurse Practitioner 363LF0000X R879072 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19522 TN
Family Nurse Practitioner 363LF0000X 19522 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 826B
Memphis, TN 38119-5223

Mailing address

6005 Park Ave Ste 826B
Memphis, TN 38119-5223
Phone (901) 519-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20150427000583 TN Practitioner - Nurse Practitioner 8527387406 Reassigns benefits to 3 organizations
I20180618000124 MS Practitioner - Nurse Practitioner 8527387406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 Park Ave
Suite 826B
Memphis, TN 38119-5223
Phone 90151946801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000019522TNMDCommunity Health Nurse Practitioner
R879072MSMDFamily Nurse Practitioner
19522TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC CurrentSince Apr 15, 2018 Accepting new patients
Volunteer Behavioral Health Care System CurrentSince Jul 6, 2022 Accepting new patients
T M Carr MD PC CurrentSince Apr 15, 2018 Accepting new patients
Kershaw Primary Care and Weight Loss, LLC Psychiatric/Mental Health CurrentSince Jul 15, 2020 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6005 Park Ave
Memphis, TN 38119
Phone (901) 383-8648

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

6005 Park Ave
Ste 826B
Memphis, TN 38119
Phone (901) 519-4680

131 Mayfield Dr
Smyrna, TN 37167
Phone (615) 459-9251

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/
  • Direct secure messaging: valarie.kershawberryfnp.p1@direct.luncefordfamily.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1407247315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 826B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195223",
            "telephone_number": "901-519-4680",
            "fax_number": "901-417-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 826B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195223",
            "telephone_number": "901-519-4680",
            "fax_number": "901-417-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHAW-BERRY",
        "first_name": "VALARIE",
        "credential": "FNP,DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TN",
            "license": "APN0000019522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879072",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "19522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.