Healthcare Provider Details

I. General information

NPI: 1174019947
Provider Name (Legal Business Name): KRISTEN AMANDA BERRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN AMANDA SCHNEIDER

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVENUE CVICU
CINCINNATI OH
45219
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD FL 2
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax:
Mailing address:
  • Phone: 513-585-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.329903
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.023074
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.023074
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: