Active NPI
Shirley Marie Perry
- Nurse's Aide
- Manchester, CT
National Provider Identifier
1003428632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA8195362
- Practice address
- 131 Park St
Manchester, CT 06040-5925 - Phone
- (860) 500-8506
- Fax
- (860) 812-2098
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA8195362 | CT | Primary |
Addresses
Primary practice location
131 Park St
Manchester, CT 06040-5925
Mailing address
131 Park St
Manchester, CT 06040-5925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA8195362 | CT | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transforming Hearts PLLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1003428632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 PARK ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 PARK ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405925",
"telephone_number": "860-500-8506",
"fax_number": "860-812-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SHIRLEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "CT",
"license": "NA8195362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.