Individual provider Active NPI

Wanda Latreece Perry, NP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1114674595
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117772 Issued in AL
Practice address
610 Airport Rd SW Ste 100
Huntsville, AL 35802-4304
Phone
(256) 585-1567
Fax
(256) 270-7183
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 1-117772 AL Primary

Addresses

Primary practice location

610 Airport Rd SW Ste 100
Huntsville, AL 35802-4304

Mailing address

610 Airport Rd SW
Huntsville, AL 35802-4304
Phone (256) 527-5200

Other practice location 1

4055 Valley View Ln Ste 700
Dallas, TX 75244-5045
Phone (469) 466-7159

Other practice location 2

700 Airort Road SW
Suite D
Huntsville, AL 35802
Phone (256) 429-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230118000922 AL Practitioner - Nurse Practitioner 9133590714 Reassigns benefits to 2 organizations
I20230711003722 TN Practitioner - Nurse Practitioner 9133590714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

46 Shields Rd
Huntsville, AL 35811-7800
Phone (256) 382-3680

7216 Bailey Cove Rd SE
Suite a
Huntsville, AL 35802-2746
Phone (256) 513-9900

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-117772ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince Feb 14, 2025 Accepting new patients
American Family Care, LLC CurrentSince Mar 1, 2025 Accepting new patients
American Family Care, LLC CurrentSince Mar 1, 2025 Accepting new patients
Advantage Family Care, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 30, 2023 Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

7216 Bailey Cove Rd SE
Ste A
Huntsville, AL 35802
Phone (256) 513-9900

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1114674595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 AIRPORT RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024304",
            "telephone_number": "256-527-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 AIRPORT RD SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024304",
            "telephone_number": "256-585-1567",
            "fax_number": "256-270-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Valley View Ln Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445045",
            "country_code": "US",
            "telephone_number": "469-466-7159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Airort Road SW",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35802",
            "country_code": "US",
            "telephone_number": "256-429-4526",
            "fax_number": "256-429-4507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "WANDA",
        "middle_name": "LATREECE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.