Individual provider Active NPI

Marta E Perez, F.N.P.

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1225225808
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
246541 Issued in TX
Practice address
2621 W Trenton Rd
Edinburg, TX 78539-3432
Phone
(956) 627-1197
Fax
(956) 627-2071
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 246541 TX
Nurse Practitioner 363L00000X 246541 TX Primary

Addresses

Primary practice location

2621 W Trenton Rd
Edinburg, TX 78539-3432

Mailing address

2621 W Trenton Rd
Edinburg, TX 78539-3432
Phone (956) 627-1197

Other identifiers 1

IdentifierTypeStateIssuer
3121147-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246541TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bose & Associates PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marta.perez@ashleypediatrics.opdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1225225808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-627-1197",
            "fax_number": "956-627-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-627-1197",
            "fax_number": "956-627-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARTA",
        "middle_name": "E",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "246541",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "246541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121147-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.