Active NPI
Michelle Renee Berry, CN
- Nutritionist
- Walla Walla, WA
National Provider Identifier
1598640344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- NU61192776
- Practice address
- PO Box 2721
Walla Walla, WA 99362-0335 - Phone
- (509) 540-3159
- NPI assigned
- Aug 11, 2025
- Last updated
- Aug 11, 2025
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU61192776 | WA | Primary |
Addresses
Primary practice location
PO Box 2721
Walla Walla, WA 99362-0335
Mailing address
PO Box 2721
Walla Walla, WA 99362-0335
Other names 1
- Elle Berry
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 |
|---|---|---|---|
| NU61192776 | WA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1598640344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2721",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 2721",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620335",
"telephone_number": "509-540-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "NU61192776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLE",
"last_name": "BERRY",
"credential": "CN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.