KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
NPI 1013525187
Nurse Practitioner - Primary Care in Memphis, TN

NPI Status: Active since July 15, 2020

Contact Information

6005 PARK AVE STE 826B
MEMPHIS, TN
ZIP 38119
Phone: (901) 519-4680

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 44D2202118
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-23-2026

About KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC

This page provides the complete NPI Profile along with additional information for Kershaw Primary Care And Weight Loss, Llc, a provider established in Memphis, Tennessee operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1013525187 assigned on July 2020. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Kershaw Primary Care And Weight Loss, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Valarie Kershaw-berry (Over/nurse Practitioner)

NPI
1013525187
Provider Legal Name
KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6005 PARK AVE STE 826B MEMPHIS, TN 38119
Location Phone
(901) 519-4680
Mailing Address
6005 PARK AVE STE 826B MEMPHIS, TN 38119
Mailing Phone
(901) 607-1292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2020
Last Update Date
05-13-2025
Code Navigator

A nurse practitioner (NP) like Kershaw Primary Care And Weight Loss, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
22084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

 
32084P0805XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Geriatric Psychiatry

 
4363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VALARIE KERSHAW-BERRY

Authorized Official Title
OVER/NURSE PRACTITIONER
Authorized Official Phone
(662) 902-9883

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2202118
Facility Type
Physician Office
Certificate Effective Date
November 24, 2024
Certificate Expiration Date
November 23, 2026
Laboratory Director
VALARIE KERSHAW-BERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kershaw Primary Care And Weight Loss, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013525187, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 0 + 2 + 1 + 0 + 1 + 1 + 6 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1013525187.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
6005 PARK AVE STE 826B
MEMPHIS, TN 38119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013525187, enumerated as an "organization" on July 15, 2020.

The provider is located at 6005 PARK AVE STE 826B MEMPHIS, TN 38119 and the phone number is (901) 519-4680.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.