Individual provider Active NPI

Latrice Jeannette Berry, FNP

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1861009540
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1013523 Issued in TX
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

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLC 398 clinicians
Brown Family Health Center Inc 3 clinicians
Hospital Care Consultants of Corpus Christi 19 clinicians
Southern Physician Group Management LLC 8 clinicians
Daiya Healthcare PLLC 80 clinicians

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 Hospital, San Antonio, TX, CCN 450856
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Nacogdoches LLC CurrentSince Jan 1, 2021 Accepting new patients
Daiya Healthcare PLLC CurrentSince Aug 1, 2025 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Oct 20, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Oct 20, 2025 Accepting new patients
Southern Physician Group Management LLC CurrentSince Feb 1, 2023 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

  • Direct secure messaging: latrice.berry.1@6815.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.