Individual provider Active NPI

Kameron Berry Price

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1982368262
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26460 Issued in SC
Practice address
865 Old Clemson Hwy Ste a
Seneca, SC 29672-8060
Phone
(864) 520-2020
NPI assigned
Oct 23, 2021
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 235574 SC
Family Nurse Practitioner 363LF0000X 26460 SC Primary

Addresses

Primary practice location

865 Old Clemson Hwy Ste a
Seneca, SC 29672-8060

Mailing address

125 Prestwick Dr
Anderson, SC 29621-7654
Phone (864) 980-5994

Other names 1

  • Miss Kameron McKenzie Berry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20221117000563 SC Practitioner - Nurse Practitioner 9436527728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 Commons Way
Greenville, SC 29611-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
235574SCMDRegistered Nurse
26460SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Jul 12, 2023 Accepting new patients
Itrust Wellness Group Therapeutics PastSince Nov 29, 2020 Accepting new patients
Itrust Cares LLC PastSince Oct 7, 2022 Accepting new patients

Locations

20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1982368262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PRESTWICK DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217654",
            "telephone_number": "864-980-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 OLD CLEMSON HWY STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728060",
            "telephone_number": "864-520-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KAMERON",
        "middle_name": "BERRY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "235574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMERON",
            "last_name": "BERRY",
            "middle_name": "MCKENZIE",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.