Kionna Perry

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

28383601 Issued in PA

Practice address

3900 Ford Rd
104E
Philadelphia, PA 19131-2039

Phone

(215) 921-6624

Fax

(215) 921-6715

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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.

• Illuminated Hearts

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1053775528
  NPD (past) Authorized official
• Illuminated Hearts Primary Care, LLC

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1467996702
  NPD (past) Authorized official

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1104280676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 LANKENAU AVE",
            "address_2": "APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312808",
            "telephone_number": "610-324-7807",
            "fax_number": "215-921-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "104E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "215-921-6624",
            "fax_number": "215-921-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KIONNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "PA",
            "license": "28383601",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PA",
            "license": "28383601",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "28383601",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "28383601",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "28383601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Perry-Walker, MD
• Alasdair Andrew Perry, DC
• Brittany A. Perry, DO
• Christopher Brian Perry, D.C.
• Dinah Joann Perry
• Krista Perry, OTR
• Latoya S Perry, BA
• Linda M Perry, PA-C
• Madeline Frances Perry, MD
• Mark Anthony Perry, HEALTH SERVICES TECH

• Nurse's Aide in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse's Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.