Organization Active NPI

Juanita C Perkins FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1275827966
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5001612 Issued in NC
Legal business name
JUANITA C PERKINS FNP-BC
Practice address
2515 NC Hwy 55
Suite D
Durham, NC 27713-1374
Phone
(919) 943-9515
Fax
(186) 678-8784
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Juanita PerkinsNPI 1225163744
Title
Director
Phone
(919) 943-9515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 5001612 NC Primary

Addresses

Primary practice location

2515 NC Hwy 55
Suite D
Durham, NC 27713-1374

Mailing address

4716 Miller Dr
Durham, NC 27704-1372
Phone (919) 943-9515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1275827966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 MILLER DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041372",
            "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": "2515 NC HWY 55",
            "address_2": "SUITE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131374",
            "telephone_number": "919-943-9515",
            "fax_number": "186-678-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA C PERKINS FNP-BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-943-9515"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5001612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.