Shanna Perez-Walker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345825 Issued in NY

Practice address

40 Saw Mill River Rd Lowr LL7
Hawthorne, NY 10532-1539

Phone

(347) 918-2646

NPI assigned

Jan 22, 2025

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1033921457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 BYRON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661517",
            "telephone_number": "347-918-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SAW MILL RIVER RD LOWR LL7",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321539",
            "telephone_number": "347-918-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-WALKER",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "345825",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josbely Pena Mejia, FNP
• Edison Pena
• Rod Joseph Penalosa
• Gina Pepe, OTR/L
• Tanya Eva Pereira, MBBS
• Lesley Perez, LMSW
• Performax Physical Therapy & Rehabilitation PC
• Elizabeth Peterson, MD
• Sara Malka Petrushka, MS, CGC
• Matthew Phillips

• Family Nurse Practitioner in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.