Amber Marie Perez-Erosa, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2014030853 Issued in MO

Practice address

9973 FM 1651
Canton, TX 75103-4009

Phone

(573) 489-9477

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1174091615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9973 FM 1651",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751034009",
            "telephone_number": "573-489-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9973 FM 1651",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751034009",
            "telephone_number": "573-489-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-EROSA",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3268701",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2014030853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuhair Patel
• Peace Pharmacy Inc
• Billy Jack Peace Jr., RPH
• Megan Pearce, M.D.
• Elizabeth Pearson, APRN, FNP-BC
• Nicole Pierce, RBT
• Karl Poff
• Rayan S Qazi, MD
• Quitman Hospital LLC
• Ranch Academy and Life Skills Center, Inc

• Licensed Practical Nurse in Canton, TX
• Providers in Canton, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.