Nour A Berry, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07220146 Issued in MI

Practice address

3902 Monroe St
Dearborn Heights, MI 48125-2545

Phone

(313) 562-1985

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nour.berry.1@23214.direct.athenahealth.com

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

• Primary Care Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1780292623
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1689307829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 FAIRWOOD DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272806",
            "telephone_number": "313-598-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "NOUR",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F07220146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Optometry LLC (Clarkson Eyecare)
• Jina Berro
• Ali A Berry
• Azhar Berry, MSN, APRN, FNP-C
• Mona Berry, LMSW
• Better Home Care Provider
• Better Living Physical Therapy LLC
• Better RX Pharmacy
• Better U Urgent Care PLLC
• Farrah Beydoun

• Family Nurse Practitioner in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.