Christena Kay Berry

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1071329 Issued in TX

Practice address

1301 W Panola St
Carthage, TX 75633-2345

Phone

(903) 705-7601

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians

Breedlove Wound Care LLCGroup PAC ID 3274055694, 4 clinicians

Breedlove Wound Care of Texas LLCGroup PAC ID 3375067093, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Carthage Hospital Hospital, Carthage, TX, CCN 450210

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cberry914312@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breedlove Wound Care LLC

  • Family Nurse Practitioner
  • Tatum, TX
  • NPI 1417772997
  Medicare reassignment Care Compare group NPD
• Breedlove Wound Care of Texas LLC

  • Family Nurse Practitioner
  • Tatum, TX
  • NPI 1841013257
  Medicare reassignment Care Compare group NPD
• Ut East Texas Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • Canton, TX
  • NPI 1356974281
  Medicare reassignment Care Compare group NPD
• QV Urgent Care TX PLLC

  dba QuickVisit Urgent Care

  • Family Medicine Physician
  • Henderson, TX
  • NPI 1568098887
  Medicare reassignment NPD
• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  Family, TX

  Medicare reassignment NPD
• QV Urgent Care TX PLLC

  dba QuickVisit Urgent Care

  • Rural Health Clinic/Center
  • Madisonville, TX
  • NPI 1669198347
  NPD

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

• Carthage Hospital, LLC

  • General Acute Care Hospital
  • Carthage, TX
  • NPI 1538667035
  Care Compare affiliation

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1932854692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W PANOLA ST # SR",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332345",
            "telephone_number": "902-705-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332345",
            "telephone_number": "903-705-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHRISTENA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Ballard, NP
• Valerie Ross Barron, MED., CCC-SLP
• Melanie Deann Beamon, LVN
• Belinda M. Beck
• Beckville Independent School District (Panola County SSA)
• Bethany Home Health of Longview, LP (Bethany Home Health Services)
• Ahmad Bittar
• Suzzane Marie Blake, MD
• Samuel Dwain Born
• Clayton H. Brakeville, M.S.P.T.

• Family Nurse Practitioner in Carthage, TX
• Providers in Carthage, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.