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LATISHIA RENEE-DENISE BERRY ANP-BC
NPI 1649614009
Nurse Practitioner in Troy, MI

Active since April 29, 2013
880 W LONG LAKE RD, TROY, MI 48098(888) 562-5442(562) 528-5595 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latishia Renee-denise Berry Anp-bc NPPES

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

LATISHIA RENEE-DENISE BERRY ANP-BC (NPI 1649614009) is an individual nurse practitioner in Troy, Michigan, licensed in Michigan (4704277302) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1649614009
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLATISHIA RENEE-DENISE BERRYCredential: ANP-BC
Location Address880 W LONG LAKE RDTroy, MI 48098-4504
Mailing Address200 Oceangate Ste 100Long Beach, CA 90802-4317 · (562) 499-6191 · Fax (562) 499-6171
Phone(888) 562-5442
Fax(562) 528-5595
Sole ProprietorNo
Enumeration DateApril 29, 2013
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1649614009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704277302
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
880 W LONG LAKE RD, Troy, MI 48098
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

CANDACE FOWLKES
Nurse Practitioner (Family)
880 W LONG LAKE RD
TROY, MI 48098
Oakland County (866) 449-6828
DR. SHANNETTA L HOUZE-DIXON DNP, FNP-BC
Nurse Practitioner (Family)
880 W LONG LAKE RD
TROY, MI 48098
Oakland County (888) 562-5442

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 Latishia Berry's NPI number?

The NPI number for Latishia Berry is 1649614009. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Latishia Berry located?

Latishia Berry practices at 880 W Long Lake Rd, Troy, MI 48098. The listed phone number is (888) 562-5442.

What is Latishia Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Latishia Berry was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.