Kenneth Edward Berry

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

12722 SE 312TH St Apt H204
Auburn, WA 98092-3149

Phone

(425) 525-8871

NPI assigned

Oct 3, 2022

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710601786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 SE 312TH ST APT H204",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923149",
            "telephone_number": "425-525-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 SE 312TH ST APT H204",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923149",
            "telephone_number": "425-525-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-09-11",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Personal",
            "affiliation": "N",
            "endpointDescription": "Personal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Data",
            "address_1": "12722 SE 312th St Apt H204",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980923149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jake Bergstrom, MD
• Ellen Bermudez, RN
• Amberly Bernal
• Elisabeth Bernard
• Jerry S Berndt, RPH
• Kyle John Bertea, MD
• Robert Bessler, MD
• Susan Sybil Bett
• Tiffany Bettencourt
• Kalyn Elizabeth Bevan, LMHC-A

• In Home Supportive Care Agency in Auburn, WA
• Providers in Auburn, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.