Anita Denise Berry, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.002740 Issued in IL

Practice address

993 W Bauer Rd
Naperville, IL 60563-1108

Phone

(630) 408-1717

Fax

(888) 909-5815

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• Lakeside Medical Group LTD

  • Adolescent Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1790809804
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1851648679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 W BAUER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631108",
            "telephone_number": "630-408-1717",
            "fax_number": "888-909-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 W BAUER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631108",
            "telephone_number": "630-408-1717",
            "fax_number": "888-909-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ANITA",
        "middle_name": "DENISE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041134386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.002740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Bergman
• Tom D. Beris, M.D.
• Keri Berkowitz
• Ashley Nicole Berlinski
• Mary Kay C Berres, LPCP
• Candecia Berry
• Missy Ann Berry
• Thikamphaa Bertrand, D.D.S
• Nicholas M Bertucci, DO
• Karin M Bertulis, PT, MPT

• Family Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.