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KERRY ANNE SYMON
NPI 1104037431
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since May 25, 2007PECOS Enrolled
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-5290(510) 981-5265 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Anne Symon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY ANNE SYMON (NPI 1104037431) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104037431
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKERRY ANNE SYMON
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 M L K Jr WayBerkeley, CA 94704-3238 · (510) 981-5290 · Fax (510) 981-5265
Phone(510) 981-5290
Fax(510) 981-5265
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 13, 2007
✔ NPI 1104037431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Anne Symon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Symon's NPI number?

The NPI number for Kerry Symon is 1104037431. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Kerry Symon located?

Kerry Symon practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-5290.

What is Kerry Symon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kerry Symon enrolled in Medicare?

Yes. Kerry Symon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Symon was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.