Theresa M. Perry, RNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN225340 Issued in CA

Practice address

3324 W Sunset Blvd
Los Angeles, CA 90026-2118

Phone

(323) 660-2400

NPI assigned

Feb 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hollywood Sunset Free Clinic

  • Ambulatory Family Planning Facility
  • Los Angeles, CA
  • NPI 1679691810
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1104166719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 CANYON CREST RD",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013718",
            "telephone_number": "626-798-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262118",
            "telephone_number": "323-660-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN225340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNISHING",
            "identifier": "1433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shani Perry
• Sophia Perry
• Tara A. Perry, OTD, OTR/L
• Tawana Lynette Perry
• Tawnya Lucile Perry, LCSW
• Thomas Perry
• Danielle R Perryman, PSY.D.
• Christina Persaud
• Rehana Victoria Persaud, MD
• Stephen Persaud, NP-C

• Women's Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.