Berea Urgent Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BEREA URGENT CARE LLC

Practice address

234 Brenwood St
Berea, KY 40403-1637

Phone

(859) 985-0302

Fax

(859) 985-0308

NPI assigned

Jan 4, 2007

Last updated

May 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nawar SodaNPI 1083812598

Title

Partner

Phone

(859) 985-0302

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nawar Soda, MD

  • Family Medicine Physician
  • Berea, KY
  • NPI 1083812598
  Medicare reassignment Care Compare group NPD Authorized official
• Abraham Adiemi Armah, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1124557236

  Urgent Care

  Medicare reassignment Care Compare group NPD
• Sherry Harris

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1073165239
  Medicare reassignment Care Compare group NPD
• Steven Hovermale, APRN, FNP

  • Family Nurse Practitioner
  • Mt Sterling, KY
  • NPI 1346802766
  Medicare reassignment Care Compare group NPD
• Charles King

  • Psychiatric/Mental Health Nurse Practitioner
  • Booneville, KY
  • NPI 1790134948
  Medicare reassignment Care Compare group NPD
• Kayla Elizabeth Lewis Marcum, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1609439397
  Medicare reassignment Care Compare group NPD
• Kristin Morgan, APRN

  • Family Nurse Practitioner
  • Berea, KY
  • NPI 1982144143
  Medicare reassignment Care Compare group NPD
• Penelope Waite, MSN, APRN, FNP-C

  • Nurse Practitioner
  • McKee, KY
  • NPI 1659033207
  Medicare reassignment Care Compare group NPD
• Darwin Patrick Whitaker, PAC

  • Physician Assistant
  • Berea, KY
  • NPI 1144216235
  Medicare reassignment Care Compare group
• Michelle Therese Akpunonu, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1457927550

  Urgent Care

  Medicare reassignment NPD
• Tabitha Jay Burton, MD

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1538230065
  Medicare reassignment NPD
• Elizabeth Cain, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1649140757
  Medicare reassignment NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1912054792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BRENWOOD ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031637",
            "telephone_number": "859-985-0302",
            "fax_number": "859-985-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BRENWOOD ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031637",
            "telephone_number": "859-985-0302",
            "fax_number": "859-985-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SODA",
        "authorized_official_first_name": "NAWAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "859-985-0302"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berea Healthcare, LLC (Berea Acquisition, LLC)
• Berea Hospital Inc.
• Berea Independent School
• Berea Operations, LLC
• Berea Optical LLC
• Allison Walter Bethel, D.M.D.
• BHG Lviii, LLC
• BHG Lviii, LLC (BHG Medical Services Kentucky)
• BHG XXXV, LLC (BHG Berea Treatment Center)
• Annie Ruth Bland, ARNP

• Nurse Practitioner in Berea, KY
• Providers in Berea, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.