Individual provider Active NPI

Lauren Berry, NP-C

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1528512340
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21537 Issued in TN
Practice address
1018 Chase Dr
Johnson City, TN 37604-1402
Phone
(423) 282-3379
Fax
(423) 430-6227
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21537 TN Primary

Addresses

Primary practice location

1018 Chase Dr
Johnson City, TN 37604-1402

Mailing address

1018 Chase Dr
Johnson City, TN 37604-1402
Phone (423) 282-3379

Other practice location 1

926 W Oakland Ave Ste 206
Johnson City, TN 37604-1445
Phone (423) 282-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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
I20190723000748 TN Practitioner - Nurse Practitioner 1254667728 Reassigns benefits to 1 organization
I20220615000515 VA Practitioner - Nurse Practitioner 1254667728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Health Solutions,LLCGroup PAC ID 0749615672, 9 clinicians

Practice addresses (Care Compare)

1018 Chase Dr
Johnson City, TN 37604-1402
Phone 42328233791001

2426 Lee Hwy
Suite 104
Bristol, VA 24202-5967
Phone (423) 282-3379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21537TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Health Solutions,LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1018 Chase Dr
Johnson City, TN 37604
Phone (423) 282-3379

926 W Oakland Ave
Ste 206
Johnson City, TN 37604
Phone (423) 282-3379

2426 Lee Hwy
Ste 104
Bristol, VA 24202
Phone (423) 282-3379

261 North St
Bristol, VA 24201
Phone (276) 254-5445

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1528512340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 CHASE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041402",
            "telephone_number": "423-282-3379",
            "fax_number": "423-430-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 CHASE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041402",
            "telephone_number": "423-282-3379",
            "fax_number": "423-430-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 W Oakland Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376041445",
            "country_code": "US",
            "telephone_number": "423-282-3379",
            "fax_number": "423-430-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.