Active NPI
Mary Katrina Berry, COMS
- Orientation and Mobility Training Rehabilitation Counselor
- Nortonville, KY
National Provider Identifier
1912547795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orientation and Mobility Training Rehabilitation Counselor
- License
- 5720
- Practice address
- 145 Swan Lake Rd
Nortonville, KY 42442-9771 - Phone
- (270) 836-9548
- NPI assigned
- Jan 9, 2020
- Last updated
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | 5720 | NU | Primary |
Addresses
Primary practice location
145 Swan Lake Rd
Nortonville, KY 42442-9771
Mailing address
145 Swan Lake Rd
Nortonville, KY 42442-9771
Phone (270) 836-9548
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1912547795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SWAN LAKE RD",
"city": "NORTONVILLE",
"state": "KY",
"postal_code": "424429771",
"telephone_number": "270-836-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SWAN LAKE RD",
"city": "NORTONVILLE",
"state": "KY",
"postal_code": "424429771",
"telephone_number": "270-836-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MARY",
"middle_name": "KATRINA",
"credential": "COMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": "NU",
"license": "5720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nortonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.