Individual provider Active NPI

Kristen Nicole Perrill, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1407201478
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8649 Issued in AZ
Practice address
1925 W Orange Grove Rd Ste 201
Tucson, AZ 85704-1151
Phone
(520) 202-5820
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8649 AZ Primary

Addresses

Primary practice location

1925 W Orange Grove Rd Ste 201
Tucson, AZ 85704-1151

Mailing address

5841 N Belbrook Dr
Tucson, AZ 85741-3769
Phone (520) 549-9595

Other practice location 1

5841 N Belbrook Dr
Tucson, AZ 85741-3769
Phone (520) 549-9595

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kristen.perrill@nwhc.cernerdirect.com
Direct Messaging Address kristen.perrill.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kristen.perrill.1@1576.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1407201478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 N BELBROOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413769",
            "telephone_number": "520-549-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041151",
            "telephone_number": "520-202-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 N Belbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413769",
            "country_code": "US",
            "telephone_number": "520-549-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRILL",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.perrill@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR",
            "address_1": "1925 W Orange Grove Rd Ste 201",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.perrill.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1925 W Orange Grove Rd Ste 201",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.