Active NPI
Michelle Berry, RN
- Registered Dietetic Technician
- Kearney, NE
National Provider Identifier
1699080689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- License
- 2011-0243
- Practice address
- 3219 Central Ave
Kearney, NE 68847-2949 - Phone
- (308) 865-2263
- Fax
- (308) 865-2541
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | 2011-0243 | NE | Primary |
Addresses
Primary practice location
3219 Central Ave
Kearney, NE 68847-2949
Mailing address
3219 Central Ave
Kearney, NE 68847-2949
Phone (308) 865-2263
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-0243 | NE | MD | Registered Dietetic Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1699080689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472949",
"telephone_number": "308-865-2263",
"fax_number": "308-865-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472949",
"telephone_number": "308-865-2263",
"fax_number": "308-865-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "",
"desc": "Dietetic Technician, Registered",
"state": "NE",
"license": "2011-0243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.