Active NPI
Kathlean Y Perrier, ANP-C
- Adult Health Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN055663
- Practice address
- 395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2656 - Phone
- (520) 622-5912
- Fax
- (520) 791-2246
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN055663 | AZ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP0058 | AZ |
Addresses
Primary practice location
395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2656
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760513 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP0058 | AZ | MD | Adult Health Nurse Practitioner |
| RN055663 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Vicki L Greiff MD | Past | Accepting new patients | |
| Gary P Gottlieb MD PC | Past | Accepting new patients | |
| Craig G Gross MD PC | Past | Accepting new patients |
Locations
1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135
630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460
2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265
1707 W Saint Marys Rd
Ste 100
Tucson, AZ 85745
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
Organizations & group practices 4
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.
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- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Gastroenterology Physician
- Tucson, AZ
- NPI 1851578314
-
- Gastroenterology Physician
- Tucson, AZ
- NPI 1558873992
-
- Geriatric Medicine (Internal Medicine) Physician
- Tucson, AZ
- NPI 1568556561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1124160197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-872-7265",
"fax_number": "520-872-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N SILVERBELL RD",
"address_2": "SUITE 355",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452656",
"telephone_number": "520-622-5912",
"fax_number": "520-791-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIER",
"first_name": "KATHLEAN",
"middle_name": "Y",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "RN055663",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP0058",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "760513",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.