Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodora Isabelle Berry, NP

Individual provider Women's Health Nurse Practitioner · NPI 1396518106

Theodora Isabelle Berry, NP is a Nurse Practitioner in Garden City, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

200 Garden City Plz Ste 100
Garden City, NY 11530-3337
Phone: (516) 663-6400
Fax: (516) 307-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence F421665-01 (NY)

Record details

NPI number1396518106
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 2, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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