Trina R Berry, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024170397 Issued in VA

Practice address

1000 Old Denbigh Blvd
Suite 1020a
Newport News, VA 23602-2017

Phone

(757) 875-2050

Fax

(757) 875-2070

NPI assigned

Oct 10, 2012

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reignite and Reform LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
  • NPI 1295547339
  NPD Authorized official
• Reignite and Reform LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1376391771
  NPD Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1588916936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OLD DENBIGH BLVD",
            "address_2": "SUITE 1020A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236022017",
            "telephone_number": "757-875-2050",
            "fax_number": "757-875-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TRINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305791-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh E Berckmueller, MD
• Arnold Joseph Berger, DMD
• Mulugeta W Berhe
• Matthew Stephen Berniard, M.D.
• Mary Wait Berry, N.P.
• Taylor Best
• Kirsten Montgomery Betak, PSY.D.
• Tiffany Yvonne Bethea
• Betone/Ledford Audiology & Hearing Aid Centers, Inc
• Chrystelle Ndedi Beyegue

• Adult Health Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.