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MRS. LISA MICHELLE BERRY FNP-BC
NPI 1144007279
Family Medicine in Manorville, NY

Active since September 12, 2023
22 DIANE DR, MANORVILLE, NY 11949(631) 793-0587 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Lisa Michelle Berry Fnp-bc NPPES

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

MRS. LISA MICHELLE BERRY FNP-BC (NPI 1144007279) is an individual family medicine provider in Manorville, New York, licensed in New York (351231) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1144007279
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. LISA MICHELLE BERRYCredential: FNP-BC
Location Address22 DIANE DRManorville, NY 11949-3033
Mailing Address22 Diane DrManorville, NY 11949-3033 · (631) 793-0587
Phone(631) 793-0587
Sole ProprietorYes
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1144007279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 351231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22 DIANE DR, Manorville, NY 11949
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Other Names 1

Former Name (1)Lisa Michelle Hansen Rn

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 Lisa Berry's NPI number?

The NPI number for Lisa Berry is 1144007279. It was assigned to this individual provider in the NPPES registry on September 12, 2023. The provider is also known as Lisa Michelle Hansen Rn.

Where is Lisa Berry located?

Lisa Berry practices at 22 Diane Dr, Manorville, NY 11949. The listed phone number is (631) 793-0587.

What is Lisa Berry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Berry was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.