Theresa Katherine Perry, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

23492 Issued in TN

Practice address

890 S Palafox St Unit 300
Pensacola, FL 32502-5905

Phone

(850) 433-1656

Fax

(850) 433-1996

NPI assigned

Nov 28, 2017

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 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Anchor Clinic LLCGroup PAC ID 8729183512, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Anchor Clinic, LLC

  • Health Service Psychologist
  • Pensacola, FL
  • NPI 1629161435

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1255845392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S PALAFOX ST UNIT 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025905",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S PALAFOX ST UNIT 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025905",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Centennial Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643264",
            "country_code": "US",
            "telephone_number": "931-766-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "THERESA",
        "middle_name": "KATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Dale Perkins, LCSW
• Martin Ira Perlmutter, M.D.
• Christina Perron, MS,RDN,LDN
• Dustin Perry, LCSW
• Gail A Perry, BSW
• William Earl Perry, CRNA
• Casey Marie Persinger
• Gary K Person, M.D.
• Ellie Peskosky, LMHC
• Michael Pesqueira

• Psychiatric/Mental Health Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
• 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.