Active NPI
Laura Louise Berry, NURSE PRACTITIONER
- Acute Care Nurse Practitioner
- North Chesterfield, VA
National Provider Identifier
1699474171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024185846
- Practice address
- 1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730 - Phone
- (804) 439-2120
- NPI assigned
- Feb 23, 2023
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024185846 | VA | Primary |
Addresses
Primary practice location
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Mailing address
PO Box 254
Colonial Heights, VA 23834-0254
Phone (804) 439-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712000070 | VA | Practitioner - Nurse Practitioner | 3476912262 | |
| I20240906003183 | VA | Practitioner - Nurse Practitioner | 3476912262 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Colonial Heights, VA 23834
Phone (804) 661-6519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WFS Home Care Enterprises, Inc. Dba at Home Harmony Pharmacy LTC | Current | Accepting new patients | |
| Practitioner'S Heart Homebased Healthcare LLC | Current | Accepting new patients |
Locations
1504 Santa Rosa Rd
Rm 116
Henrico, VA 23229
Phone (804) 210-3103
Organizations & group practices 2
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.
-
- Adult Health Nurse Practitioner
- Colonial Heights, VA
- NPI 1396585105
VA
-
- Long Term Care Pharmacy
- Henrico, VA
- NPI 1073256137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1699474171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238340254",
"telephone_number": "804-439-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JOHNSTON WILLIS DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-439-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LAURA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024185846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.