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BEREA URGENT CARE LLC
NPI 1912054792
Nurse Practitioner in Berea, KY

Active since January 04, 2007CLIA 18D1046850 · Waiver
234 BRENWOOD ST, BEREA, KY 40403(859) 985-0302(859) 985-0308 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berea Urgent Care Llc NPPES

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

BEREA URGENT CARE LLC (NPI 1912054792) is a healthcare organization registered as a nurse practitioner in Berea, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Nawar Soda, Partner, as its authorized official.

NPPES Registry Identity

NPI1912054792
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBEREA URGENT CARE LLC
Location Address234 BRENWOOD STBerea, KY 40403-1637
Mailing Address234 Brenwood StBerea, KY 40403-1637 · (859) 985-0302 · Fax (859) 985-0308
Phone(859) 985-0302
Fax(859) 985-0308
Organization SubpartNo
Authorized OfficialNawar SodaPartner · (859) 985-0302
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 12, 2016
✔ NPI 1912054792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedPhysician AssistantTaxonomy 363A00000X
234 BRENWOOD ST, Berea, KY 40403
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Other Identifiers 2

Medicaid65944373KY
Other18D1046850KY · Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1046850

Berea Urgent Care · Berea, KY
Active · expires Oct 19, 2027
CLIA Number18D1046850
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorAlhaj Eyad
Laboratory Phone(513) 254-4269
Laboratory LocationBerea Urgent Care234 Brenwood Drive, Berea, KY 40403
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

NAWAR SODA MD
Family Medicine
234 BRENWOOD ST
BEREA, KY 40403
Madison County (859) 985-0302
MR. ADAM LEE DESHONG APRN
Nurse Practitioner (Family)
234 BRENWOOD ST
BEREA, KY 40403
Madison County (859) 985-0302
MR. DARWIN PATRICK WHITAKER PAC
Physician Assistant
234 BRENWOOD ST
BEREA, KY 40403
Madison County (859) 985-0302
GWENDOLYN DAWN PERCH APRN
Nurse Practitioner (Family)
234 BRENWOOD ST
BEREA, KY 40403
Madison County (859) 985-0302
KRISTIN MORGAN APRN
Nurse Practitioner (Family)
234 BRENWOOD ST
BEREA, KY 40403
Madison County (859) 935-0203

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 Berea Urgent Care LLC's NPI number?

The NPI number for Berea Urgent Care LLC is 1912054792. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Berea Urgent Care LLC located?

Berea Urgent Care LLC is located at 234 Brenwood St, Berea, KY 40403. The listed phone number is (859) 985-0302.

What is Berea Urgent Care LLC's specialty?

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

Does Berea Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1046850) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Berea Urgent Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Berea Urgent Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Berea Urgent Care LLC was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.