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NEQUILA BERRY CNA
NPI 1790657328
Technician - Personal Care Attendant in Lawtey, FLORIDA

Active since September 23, 2025
2522748 LYNWOOD AVENUE, LAWTEY, FLORIDA 32058 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nequila Berry Cna NPPES

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

NEQUILA BERRY CNA (NPI 1790657328) is an individual personal care attendant in Lawtey, FLORIDA and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1790657328
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameNEQUILA BERRYCredential: CNA
Location Address2522748 LYNWOOD AVENUELawtey, FLORIDA 32058
Mailing Address25030 Armstrong LnPlainfield, ILLINOIS 60585
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1790657328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2522748 LYNWOOD AVENUE, Lawtey, FLORIDA 32058
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nequila Berry's NPI number?

The NPI number for Nequila Berry is 1790657328. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Nequila Berry located?

Nequila Berry practices at 2522748 Lynwood Avenue, Lawtey, FLORIDA 32058.

What is Nequila Berry's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Nequila Berry was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.