Active NPI
Adissa O. Perez, APRN
- Nurse Practitioner
- Largo, FL
National Provider Identifier
1033853080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11018826
- Practice address
- 100 Highland Ave N
Largo, FL 33770-2542 - Phone
- (727) 683-2900
- Fax
- (727) 683-2901
- NPI assigned
- Apr 26, 2022
- 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 Practitioner | 363L00000X | APRN11018826 | FL | Primary |
Addresses
Primary practice location
100 Highland Ave N
Largo, FL 33770-2542
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11982 67TH LN
Largo, FL 33773-3536
214 Centerview Dr
Suite 250
Brentwood, TN 37027-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11018826 | FL | MD | Nurse Practitioner |
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.
-
- Infusion Therapy Clinic/Center
- Altamonte Springs, FL
- NPI 1821622432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1033853080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLAND AVE N",
"city": "LARGO",
"state": "FL",
"postal_code": "337702542",
"telephone_number": "727-683-2900",
"fax_number": "727-683-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ADISSA",
"middle_name": "O.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11018826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
- Esteban Andres Peralta Chacon
- Mark Percifield, PHARM D.
- Leronne Perera, DMD
- Javier Ernesto Perez Jardon
- Jose Armando Perez-Arce, M.D.
- Jody Lynn Perez, APRN, CNM
- Kimberly Beatriz Perez, LMT
- Mary-Pascale Pericles, DO
- Adam D Perler, DPM
- Personal Enrichment for Mental Health Services, Inc. (Pemhs, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.