Individual provider Active NPI

Gabriela Marie Perez, APRN

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1366095465
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200790 Issued in LA
Practice address
1111 Medical Center Blvd Ste S113
Marrero, LA 70072
Phone
(504) 349-6520
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200790 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd Ste S113
Marrero, LA 70072

Mailing address

1111 Medical Center Blvd Ste S113
Marrero, LA 70072-3152
Phone (504) 349-6520

Other names 1

  • Gabriela Marie Quinones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190910002639 LA Practitioner - Nurse Practitioner 0749519122 Reassigns benefits to 2 organizations
I20240829001488 GA Practitioner - Nurse Practitioner 0749519122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Effingham Health System Hospital, Springfield, GA, CCN 111306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200790LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Aug 1, 2020 Accepting new patients
Savannah Endocrinology LLC CurrentSince Jun 1, 2024 Accepting new patients
Tilak K Mallik MD Face LLC CurrentSince Aug 26, 2019 Accepting new patients

Locations

107 Southern Blvd
#103
Savannah, GA 31405
Phone (912) 232-5900

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S850
Marrero, LA 70072
Phone (504) 349-6450

1111 Medical Center Blvd
Ste S113
Marrero, LA 70072
Phone (504) 349-6520

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

175 Hector Ave
Terrytown, LA 70056
Phone (504) 349-6925

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHIECD/Endpoint/IHIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHIECD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1366095465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE S113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723152",
            "telephone_number": "504-349-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE S113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GABRIELA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "200790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "QUINONES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.