Individual provider Active NPI

Corrie Tyne Berk, DNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497299184
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1111600 Issued in TX
Practice address
4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458
Phone
(210) 233-7126
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002798 NV
Nurse Practitioner 363L00000X 1111600 TX Primary

Addresses

Primary practice location

4751 Hamilton Wolfe Rd Ste 200
San Antonio, TX 78229-3458

Mailing address

3066 E Commerce St
San Antonio, TX 78220-1013

Other practice location 1

7940 Shoal Creek Blvd Ste 205
Austin, TX 78757-8059
Phone (512) 454-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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
I20170329001305 PA Practitioner - Nurse Practitioner 0648555938 Reassigns benefits to 1 organization
I20230801002435 TX Practitioner - Nurse Practitioner 0648555938 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002798NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 18, 2017 Accepting new patients
Texas Liver Consultants PA CurrentSince Aug 3, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 18, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

2200 Memorial Dr
Farrell, PA 16121
Phone (724) 981-3500

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

7940 Shoal Creek Blvd
Ste 205
Austin, TX 78757
Phone (512) 454-8378

1521 S Staples St
Ste 402
Corpus Christi, TX 78404
Phone (361) 883-1731

4151 Jaime Zapata Memorial Hwy
Ste 101
Laredo, TX 78043

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

607 Camden St
Ste 108
San Antonio, TX 78215
Phone (210) 325-8402

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

4751 Hamilton Wolfe Rd
Ste 200
San Antonio, TX 78229
Phone (210) 233-7126

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1497299184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLFE RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293458",
            "telephone_number": "210-233-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7940 Shoal Creek Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787578059",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERK",
        "first_name": "CORRIE",
        "middle_name": "TYNE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002798",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1111600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.