Individual provider Active NPI

Michaela Berriault

  • Chiropractor
  • Fuquay Varina, NC
National Provider Identifier
1699562488
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5905 Issued in NC
Practice address
609 Attain St
Fuquay Varina, NC 27526-1979
Phone
(919) 535-9882
NPI assigned
Apr 23, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5905 NC Primary

Addresses

Primary practice location

609 Attain St
Fuquay Varina, NC 27526-1979

Mailing address

1621 Studio Dr
Fuquay Varina, NC 27526-4502
Phone (906) 299-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909004326 NC Practitioner - Chiropractic 5092218834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinecrest Chiropractic PLLCGroup PAC ID 6204229644, 2 clinicians

Practice addresses (Care Compare)

609 Attain St
Suite 141
Fuquay Varina, NC 27526-1987
Phone (919) 535-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5905NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinecrest Chiropractic PLLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

609 Attain St
Fuquay Varina, NC 27526
Phone (910) 612-5974

609 Attain St
Ste 141
Fuquay Varina, NC 27526
Phone (919) 535-8882

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, 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": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1699562488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 STUDIO DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264502",
            "telephone_number": "906-299-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261979",
            "telephone_number": "919-535-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIAULT",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.