Kaitlyn Brooke Berry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1114342615 Issued in NC

Practice address

6448 Main Circle St
Connelly Springs, NC 28612-7506

Phone

(828) 368-0729

Fax

(828) 368-0688

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1932823754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 JACOB AND SARAH DR",
            "city": "VILAS",
            "state": "NC",
            "postal_code": "286929125",
            "telephone_number": "770-296-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 MAIN CIRCLE ST",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127506",
            "telephone_number": "828-368-0729",
            "fax_number": "828-368-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KAITLYN",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1114342615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Speagle Abernathy, FNP-C
• Hillary Vanhoy Absher, NP-C
• Sharalyn C Anthony, FNP-C
• Sameer Mirza Baig, MD
• Michael Brian Bauer, M.D.
• John Clements Betancourt, MD
• Blue Ridge Healthcare Medical Group, Inc (The Cancer Center at Blue Ridge Valdese)
• Blue Ridge Healthcare Medical Group, Inc. (Valdese Medical Associates)
• Blue Ridge Healthcare Medical Group, Inc. (Jayendrakumar I Patel, MD)
• Blue Ridge Healthcare Medical Group, Inc. (Women's Health Group-Valdese)

• Speech-Language Pathologist in Connelly Springs, NC
• Providers in Connelly Springs, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.