MARTHA G BERRY APN NPI 1073569828

NPI Information

NPI: 1073569828
Provider Name: MARTHA G BERRY, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2508 CRESTWOOD RD
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 758-2298
Get Directions

Martha G Berry, APN is a family nurse practitioner in North Little Rock, AR with 25 years of experience. Martha G Berry, APN NPI is 1073569828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2508 CRESTWOOD RD
NORTH LITTLE ROCK, AR
ZIP 72116-623
Phone: (501) 758-2298
Fax: (501) 758-7877

The NPI 1073569828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A01874	ARKANSAS	Yes
2	163W00000X	Registered Nurse		R33544	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	492829ZNUD	OTHER	ARKANSAS	MEDICARE
2	189490758	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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