Individual provider Active NPI

Claudia Jazmin Davila Perez, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1023431533
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5413 Issued in AZ
Practice address
1300 S 10TH St
Phoenix, AZ 85034-4516
Phone
(602) 257-4323
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5413 AZ Primary

Addresses

Primary practice location

1300 S 10TH St
Phoenix, AZ 85034-4516

Mailing address

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 257-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724001621 AZ Practitioner - Nurse Practitioner 4789800913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dash of Fab Med Spa LLC Family Current Accepting new patients
Wesley Community Center, Inc CurrentSince Apr 5, 2014 Accepting new patients
Wesley Community Center Inc Current Accepting new patients
Wesley Community Center, Inc CurrentSince Apr 5, 2014 Accepting new patients
Wesley Community Center Inc Past Accepting new patients

Locations

1510 S 19th Dr
Ste 100
Phoenix, AZ 85009
Phone (602) 257-4323

1300 S 10th St
Bldg 1
Phoenix, AZ 85034

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

1625 N 39th Ave
Phoenix, AZ 85009
Phone (602) 233-0017

Organizations & group practices 5

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1023431533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344516",
            "telephone_number": "602-257-4323",
            "fax_number": "602-257-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 10TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344516",
            "telephone_number": "602-257-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA PEREZ",
        "first_name": "CLAUDIA",
        "middle_name": "JAZMIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.