Leticia Cruz Perez

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

ID00037138E Issued in ID

Practice address

870 Eden Dr
Idaho Falls, ID 83401-3660

Phone

(208) 701-8256

NPI assigned

Apr 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1093450579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 EDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013660",
            "telephone_number": "208-701-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 EDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013660",
            "telephone_number": "208-701-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Eden Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834013660",
            "country_code": "US",
            "telephone_number": "208-701-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ PEREZ",
        "first_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "ID00037138E",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "ID",
            "license": "ID00037138E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kitzha45@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Personal Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "870 Eden Dr",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834013660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace G Crook, DPT
• Jacob L Crosby, CRNA
• Nathan Cross
• Scott G Cross, MD
• Makaylie Sorensen Crowther, DNP, FNP-C
• Holly Marie Cruz, LCSW
• Krisilee Kay Cruz, ISAS
• CT Transportation, LLC
• Sandra Cummings
• Alexander Jared Cummock, DO

• Nurse's Aide in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Nurse's Aide in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.