Active NPI
Jennifer Maryee Berrry, ATC, LAT
- Athletic Trainer
- Columbus, OH
National Provider Identifier
1518151604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.002832
- Practice address
- 1086 Irongate LN
Apt B
Columbus, OH 43213-4165 - Phone
- (614) 579-2545
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.002832 | OH | Primary |
Addresses
Primary practice location
1086 Irongate LN
Apt B
Columbus, OH 43213-4165
Mailing address
1086 Irongate LN
Apt B
Columbus, OH 43213-4165
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.002832 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1518151604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 IRONGATE LN",
"address_2": "APT B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 IRONGATE LN",
"address_2": "APT B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134165",
"telephone_number": "614-579-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRRY",
"first_name": "JENNIFER",
"middle_name": "MARYEE",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.002832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.