Kailie Elizabeth Perez

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN2310694 Issued in MA

Practice address

164 Main St
North Chelmsford, MA 01863-1831

Phone

(757) 871-2565

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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 MA

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1225085319
  Medicare reassignment NPD
• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1548663875
  NPD
• Brockton Neighborhood Health Center, Inc.

  dba BNHC Pharmacy

  • Community/Retail Pharmacy
  • Brockton, MA
  • NPI 1528704061
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1245918143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631831",
            "telephone_number": "757-871-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631831",
            "telephone_number": "757-871-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KAILIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2310694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Surgical Associates of Lowell, P.C.
• Laurie Ann Pabreza, FNPBC
• Mike Paintsil
• Partners in Child Development, Inc (The Professional Center for Child Development)
• Sara Payne, M.ED
• Briana N. Perry, MD
• Peter D. Roman, MD, PC
• Petra Health Care LLC
• Julia Marie Pina
• Plus Forte LLC

• Obstetrics & Gynecology Nurse Practitioner in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.