Stacey Elaine Berry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN134597 Issued in GA

Practice address

1061 Harmon Ave
Ste. 1D03
Ft Stewart, GA 31314

Phone

(912) 435-6633

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1487672796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE. 1D03",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE. 1D03",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "STACEY",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN134597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Berger, PH.D.
• Jessica Larynn Bergman, PA-C
• Felix Bermudezmartinez
• Bjorn Bengt-Gunnar Bernhardsen, MD
• Beverly Lynn Berry
• Melinda Beyerl, RN
• Karen Bhimull, CNA
• Taran Bhola, PA-C
• Felicia Biggs, CNA
• Merlissa Biglin, RRT

• Family Nurse Practitioner in Ft Stewart, GA
• Providers in Ft Stewart, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.