Individual provider Active NPI

Wanda Marie Berryman, RN

  • Home Health Agency
  • Glenwood Springs, CO
National Provider Identifier
1588317770
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
401 23Rd St Ste 204
Glenwood Springs, CO 81601-4382
Phone
(197) 031-9962
NPI assigned
Jan 28, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO Primary

Addresses

Primary practice location

401 23Rd St Ste 204
Glenwood Springs, CO 81601-4382

Mailing address

401 23Rd St Ste 204
Glenwood Springs, CO 81601-4382
Phone (197) 031-9962

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wberryman@familyvisitor.org Direct Family Visitor Program of Garfield County, Inc.

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
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1588317770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 23RD ST STE 204",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014382",
            "telephone_number": "197-031-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 23RD ST STE 204",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014382",
            "telephone_number": "197-031-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYMAN",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wberryman@familyvisitor.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Family Visitor Program of Garfield County, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 23rd St Ste 204",
            "city": "Glenwood Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816014382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.