Active NPI
Latrice Jeannette Berry, FNP
- Family Nurse Practitioner
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1013523
- Practice address
- 330 W College St
Nacogdoches, TX 75965-3911 - Phone
- (936) 207-5188
- NPI assigned
- Sep 28, 2020
- 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 | 1013523 | TX | Primary |
Addresses
Primary practice location
330 W College St
Nacogdoches, TX 75965-3911
Mailing address
330 W College St
Nacogdoches, TX 75965-3911
Phone (936) 207-5188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210210001476 | TX | Practitioner - Nurse Practitioner | 1355756065 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Integrated Acute Care Services of Texas, PLLCBrown Family Health Center IncHospital Care Consultants of Corpus ChristiSouthern Physician Group Management LLCDaiya Healthcare PLLC
Practice addresses (Care Compare)
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
1407 E Main St
Nacogdoches, TX 75961-5369
Phone (936) 569-8240
18600 Hardy Oak Blvd
San Antonio, TX 78258-4206
Phone (210) 404-0800
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 773-5321
5515 Glen Lakes Dr
Dallas, TX 75231-4309
Phone (801) 891-1038
704 Hospital Dr
Carrizo SPGS, TX 78834-3836
Phone (830) 876-2424
Hospital & facility affiliations
- South Texas Spine and Surgical Hospital
- Nacogdoches Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ess of Nacogdoches LLC | Current | Accepting new patients | |
| Daiya Healthcare PLLC | Current | Accepting new patients | |
| Hospital Care Consultants, Inc | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Hospital Care Consultants of Corpus Christi | Current | Accepting new patients | |
| Southern Physician Group Management LLC | Current | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785
5515 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 361-8923
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
Interoperability endpoints
- latrice.berry.1@6815.direct.athenahealth.com
- latrice.berry.1@13578.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1275088452
TX
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1770162695
TX
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
TX
-
- Rural Health Clinic/Center
- Nacogdoches, TX
- NPI 1851569024
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1295890093
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1861009540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W COLLEGE ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759653911",
"telephone_number": "936-207-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W COLLEGE ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759653911",
"telephone_number": "936-207-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LATRICE",
"middle_name": "JEANNETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1013523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.