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ELIZABETH BERENDS NURSE PRACTITIONER
NPI 1417557612
Nurse Practitioner - Family in Fort Campbell, KY

Active since October 27, 2020
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400(270) 798-8556 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, Aug 22, 2023, Oct 27, 2020 (3 updates tracked since 2020).

About Elizabeth Berends Nurse Practitioner NPPES

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

ELIZABETH BERENDS NURSE PRACTITIONER (NPI 1417557612) is an individual family provider in Fort Campbell, Kentucky, licensed in New Hampshire (091225-23) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1417557612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH BERENDSCredential: NURSE PRACTITIONER
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400 · Fax (270) 798-8556
Phone(270) 798-8400
Fax(270) 798-8556
Sole ProprietorYes
Enumeration DateOctober 27, 2020
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1417557612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 091225-23
Also ListedRegistered NurseTaxonomy 163W00000X · License RN607106 (PA)
650 JOEL DR, Fort Campbell, KY 42223
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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.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Elizabeth Berends's NPI number?

The NPI number for Elizabeth Berends is 1417557612. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Elizabeth Berends located?

Elizabeth Berends practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.

What is Elizabeth Berends's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Berends was last updated on August 14, 2024. 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.