Carmen Pereira

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023007 Issued in FL

Practice address

3231 24TH Ave NE
Naples, FL 34120-3595

Phone

(239) 207-5020

Fax

(239) 348-2591

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• My Home Doctor, LLC

  • Attendant Care Provider
  • Coral Gables, FL
  • NPI 1902099104
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1235847781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 24TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203595",
            "telephone_number": "239-207-5020",
            "fax_number": "239-348-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 24TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203595",
            "telephone_number": "239-207-5020",
            "fax_number": "239-348-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan R Perdue, M.S., BCBA
• Christine Perdzock, CRNA
• Ryan Perdzock, M.D.
• Elizabeth J Peregrin, PA
• John Alexander Pereira Barroso, SA-C
• Delmis Perez Castro
• Carlos Andres Perez Charton
• Marlon Radames Perez Contreras
• Mayelin Perez Cruz
• Yara Perez del Castillo

• Family Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.

Verify at the official NPI Registry.