Individual provider Active NPI

Chelsey L Perez, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1093347254
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144972 Issued in TX
Practice address
1010 S Flores St Ste 117
San Antonio, TX 78204-1524
Phone
(210) 610-9756
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144972 TX Primary

Addresses

Primary practice location

1010 S Flores St Ste 117
San Antonio, TX 78204-1524

Mailing address

1010 S Flores St Ste 117
San Antonio, TX 78204-1524
Phone (210) 610-9756

Other practice location 1

3551 Robert Brooke Dr.
Building 3644
Ft. Sam Houston, TX 78234
Phone (210) 539-4764

Other names 1

  • Chelsey L Holden Former name

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

LicenseStateTypeSpecialty
AP144972TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nidraveda, P.a. PastSince Feb 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1093347254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S FLORES ST STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041524",
            "telephone_number": "210-610-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S FLORES ST STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041524",
            "telephone_number": "210-610-9756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Robert Brooke Dr.",
            "address_2": "Building 3644",
            "address_purpose": "LOCATION",
            "city": "Ft. Sam Houston",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-539-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHELSEY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "HOLDEN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.