Active NPI
Holly Lee Berry, NP-C
- Family Nurse Practitioner
- Seymour, IN
National Provider Identifier
1821320870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003173A
- Practice address
- 120 St. Louis Ave.
Seymour, IN 47274 - Phone
- (812) 522-4084
- Fax
- (812) 523-2013
- NPI assigned
- Feb 2, 2010
- Last updated
- Sep 7, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003173A | IN | Primary |
Addresses
Primary practice location
120 St. Louis Ave.
Seymour, IN 47274
Mailing address
P.O. Box 427
Seymour, IN 47274
Phone (812) 522-4084
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003173A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Primary Care Physicians, PC | Family | Past | Accepting new patients |
| Everside Health, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Martinsville, IN
- NPI 1861932055
-
- Family Medicine Physician
- Seymour, IN
- NPI 1699869727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1821320870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 427",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "47274",
"telephone_number": "812-522-4084",
"fax_number": "812-523-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ST. LOUIS AVE.",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "47274",
"telephone_number": "812-522-4084",
"fax_number": "812-523-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "HOLLY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003173A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.