Julie Anne Berry

Key facts

NPI

1922874007

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

594854 (CA)

Practice address

550 S. Clay St
Independence, CA 93526

Phone

(760) 878-0324

Fax

(760) 878-0444

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• County of Inyo PACE Provider Organization · Independence, CA · NPI 1649099417
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1922874007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOMINY RD",
            "city": "LONE PINE",
            "state": "CA",
            "postal_code": "935459755",
            "telephone_number": "530-228-5336",
            "fax_number": "760-878-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. CLAY ST",
            "city": "INDEPENDENCE",
            "state": "CA",
            "postal_code": "93526",
            "telephone_number": "760-878-0324",
            "fax_number": "760-878-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "594854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, CA

• County of Inyo
• County of Inyo
• Independence Volunteer Fire Dept., Inc.
• Owens Valley Unified School District
• Melissa Michelle Ruiz-Bermudez

All providers in Independence, CA · Registered Nurse in California