Individual provider Active NPI

Amanda Murchison Berry, FNP-C

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1578876744
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP101042 Issued in ME
Practice address
1524 Atwood Ave Ste 243
Johnston, RI 02919-3228
Phone
(401) 648-0129
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 084776-23 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP101042 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 084776-23 RI
Family Nurse Practitioner 363LF0000X AP101042 ME Primary

Addresses

Primary practice location

1524 Atwood Ave Ste 243
Johnston, RI 02919-3228

Mailing address

90 Birch Point Rd
Freeport, ME 04032-6336
Phone (207) 865-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101025000206 ME Practitioner - Nurse Practitioner 1355534256 Reassigns benefits to 2 organizations
I20220316001085 NH Practitioner - Nurse Practitioner 1355534256 Reassigns benefits to 1 organization
I20251203002875 IA Practitioner - Nurse Practitioner 1355534256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

140 Pleasant St
Suite 1
Farmington, ME 04938-5828
Phone (800) 683-8313

155 Main Dunstable Rd
Suite 115
Nashua, NH 03060-3640
Phone (800) 683-8313

265 Main St
Suite 201
Biddeford, ME 04005-3091
Phone (800) 683-8313

3070 104TH St
Suite 100
Urbandale, IA 50322-3829
Phone (800) 683-8313

40 Winter St
Suite 204
Rochester, NH 03867-3139
Phone (800) 683-8313

77 Park St
Rockland, ME 04841-2846
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP101042MEMDFamily Nurse Practitioner
084776-23RIMDFamily Nurse Practitioner
CNP101042MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, LLC Family CurrentSince Jan 1, 2021 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC CurrentSince Jan 15, 2014 Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

Dept CH17590
Palatine, IL 60055

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

40 Winter St
Ste 204
Rochester, NH 03867
Phone (603) 556-8892

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1578876744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BIRCH POINT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326336",
            "telephone_number": "207-865-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 243",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-648-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "AMANDA",
        "middle_name": "MURCHISON",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "084776-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP101042",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "084776-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP101042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.