Juanita Consuela Perkins, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5001612 Issued in NC

Practice address

3209 Guess Rd Ste 108
Durham, NC 27705-2692

Phone

(919) 748-3668

Fax

(866) 788-7843

NPI assigned

Feb 23, 2007

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juanita.perkins.1@31412.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juanitac Perkins FNP-BC Healthcare, P.a

  • Multi-Specialty Clinic/Center
  • Durham, NC
  • NPI 1710577184
  Medicare reassignment NPD Authorized official
• Direct Realistic Counseling Service

  • Mental Health Counselor
  • Garner, NC
  • NPI 1760039937
  Medicare reassignment NPD
• Juanita C Perkins FNP-BC Healthcare, P.a

  dba JuanitaC Perkins FNP-BC Healthcare

  • Family Medicine Physician
  • Durham, NC
  • NPI 1457942484
  NPD Authorized official
• Juanita C Perkins FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
  • NPI 1275827966
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1225163744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 AUTUMN RIDGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277124601",
            "telephone_number": "919-943-9515",
            "fax_number": "866-788-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 GUESS RD STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052692",
            "telephone_number": "919-748-3668",
            "fax_number": "866-788-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JUANITA",
        "middle_name": "CONSUELA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "200599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5001612",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5001612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004483",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.perkins@juanitaperkinshealthcare.org",
            "affiliation": "N",
            "endpointDescription": "secure text messaging/email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation",
            "address_1": "3209 Guess Rd Ste 108",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277052692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Perfect, M.D.
• Performax Physical Therapy and Sports Rehabilitation, LLC
• Marjorie Ann Perkins Shope, PHD
• Elizanette Perkins, OTD,OTR/L
• Ijeoma Mbanuzue Perkins, PA-C
• Kina Kysonia Perkins, NP, PMHNP-BC
• Margaret Jane Perkins, RD, LDN
• Samuel A Perkins, LCMHC
• Scott Stephen Perkins, MD
• Michelle Elizabeth Perkons, MD

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.