Individual provider Active NPI

Alyssa Nicole Peri, IBCLC

  • Lactation Consultant (Non-RN)
  • Dallas, TX
National Provider Identifier
1073147971
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
4100 Swiss Ave
Dallas, TX 75204-6661
Phone
(972) 694-1429
NPI assigned
Feb 28, 2020
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

4100 Swiss Ave
Dallas, TX 75204-6661

Mailing address

2301 Silver Maple Dr
Wylie, TX 75098-8443
Phone (972) 998-8412

Other practice location 1

2301 Silver Maple Dr
Wylie, TX 75098-8443
Phone (972) 998-8412

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

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Counselor Lactation Consultant, Non-RN CurrentSince Mar 1, 2020 Accepting new patients

Locations

4100 Swiss Ave
Dallas, TX 75204
Phone (214) 774-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1073147971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SILVER MAPLE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988443",
            "telephone_number": "972-998-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046661",
            "telephone_number": "972-694-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Silver Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988443",
            "country_code": "US",
            "telephone_number": "972-998-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERI",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.