Active NPI
Maria DJ Perez
- Counselor
- Sunnyside, WA
National Provider Identifier
1043588965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC60262988
- Practice address
- 117 W Grandview Ave
Sunnyside, WA 98944-1923 - Phone
- (509) 830-5889
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC60262988 | WA | Primary |
Addresses
Primary practice location
117 W Grandview Ave
Sunnyside, WA 98944-1923
Mailing address
117 W Grandview Ave
Sunnyside, WA 98944-1923
Phone (509) 830-5889
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 |
|---|---|---|---|
| MC60262988 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1043588965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W GRANDVIEW AVE",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441923",
"telephone_number": "509-830-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W GRANDVIEW AVE",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441923",
"telephone_number": "509-830-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARIA",
"middle_name": "DJ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC60262988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.