Juana Berry

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

2042 Wild Creek CT
Dallas, TX 75253-5472

Phone

(972) 342-8527

Fax

(972) 286-8330

NPI assigned

Sep 3, 2019

Last updated

May 4, 2020By 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)

Not enrolled

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.

• Berry Assisted Living LLC

  • Contractor
  • Dallas, TX
  • NPI 1023630332

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1639727522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WILD CREEK CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WILD CREEK CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535472",
            "telephone_number": "972-342-8527",
            "fax_number": "972-286-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6726 Sunshade Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752360103",
            "country_code": "US",
            "telephone_number": "972-342-8527 x97234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JUANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "882040",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaina M. Berry, MD
• Emily Caroline Russell Berry, M.D.
• James Berry, MD
• Jessica Savelle Berry, PA-C
• Jill Yvette Berry, SLP
• Kathryn Elizabeth Berry, CRNA
• Kimberly Georgena Berry, FNP-C
• Laura M Berry, MD
• Marcy L Berry, M.D.
• Phil Hunter Berry Jr., M.D.

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.