Derek Perkins, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105931 Issued in TX

Practice address

6800 Park Ten Blvd
Ste 135-East
San Antonio, TX 78213-4211

Phone

(210) 734-6050

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1073774550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WINDWOOD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042914",
            "telephone_number": "361-212-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "STE 135-EAST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-734-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DEREK",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peripheral Vascular Associates, P.a.
• Cindy Carol Perkins-Wereley, L.C.S.W.
• Adelie Tristan Perkins, MD
• Avis Perkins, RN
• Cory Perkins, IONM
• Eric Perkins, DO
• Freedom F Perkins, MD
• Gabrielle Perkins, OT
• Henry Perkins, MD
• Herbert Albert Perkins, MD

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.