1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

ANNE P BERTHOLD F.N.P.
NPI 1821092479
Nurse Practitioner - Family in Jackson, MS

Active since June 10, 2005
1227 N STATE ST, STE 101, JACKSON, MS 39202(601) 355-2485(601) 353-1463 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anne P Berthold F.n.p. NPPES

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

ANNE P BERTHOLD F.N.P. (NPI 1821092479) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R845073) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1821092479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNE P BERTHOLDCredential: F.N.P.
Location Address1227 N STATE ST, STE 101Jackson, MS 39202-2002
Mailing Address1227 N State St, Ste 101Jackson, MS 39202-2002 · (601) 355-2485 · Fax (601) 353-1463
Phone(601) 355-2485
Fax(601) 353-1463
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateDecember 2, 2009
✔ NPI 1821092479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R845073
1227 N STATE ST, Jackson, MS 39202
Open in Google Maps ↗

Other Identifiers 5

Medicaid1432652LA
Medicare PIN500012130
Medicare PIN500000561MS
Medicare UPINS90563
Medicaid00121962MS

Other Providers at the Same Location NPPES 6

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

VAN L LACKEY M.D.
Internal Medicine (Medical Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Hinds County (601) 355-2485
GRACE G SHUMAKER M.D.
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Hinds County (601) 355-2485
BOBBY S WILKERSON M.D.
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, SUITE 101
JACKSON, MS 39202
Hinds County (601) 355-2485
JACKSON ONCOLOGY ASSOCIATES
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Hinds County (601) 355-2485
MRS. LORI BETH BRENT FNP
Nurse Practitioner (Family)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Hinds County (601) 355-2485
TAMMY H YOUNG M.D.
Internal Medicine (Medical Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Hinds County (601) 355-2485

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 Anne Berthold's NPI number?

The NPI number for Anne Berthold is 1821092479. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Anne Berthold located?

Anne Berthold practices at 1227 N State St Ste 101, Jackson, MS 39202. The listed phone number is (601) 355-2485.

What is Anne Berthold'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 Anne Berthold was last updated on December 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.