Individual provider Active NPI

Amanda Marie Berberich, CNM

  • Advanced Practice Midwife
  • Lake Orion, MI
National Provider Identifier
1609547801
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
1406 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone
(248) 842-1369
NPI assigned
Sep 27, 2021
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MI Primary

Addresses

Primary practice location

1406 S Lapeer Rd
Lake Orion, MI 48360-1437

Mailing address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 842-1369

Other names 1

  • Amanda Marie Sykes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000560 MI Practitioner - Certified Nurse Midwife (CNM) 2062800188 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Family Medicine and Urgent Care CurrentSince Dec 12, 2023 Accepting new patients
Women's Healthcare Associates of Oakland PLLC CurrentSince Aug 6, 2024 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2021 Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

6140 Rashelle Dr
Flint, MI 48507
Phone (810) 262-2330

6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822

1428 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-0543

Interoperability endpoints

  • Direct secure messaging: aberberich1117256@direct.hfhs.org
  • Direct secure messaging: amanda.berberich.1@8250.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1609547801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-842-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-842-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBERICH",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SYKES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.