Axa Perumpalath, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1156976 Issued in TX

Practice address

5501 S McColl Rd
Edinburg, TX 78539-5503

Phone

(956) 362-8677

Fax

(956) 362-7253

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

Yes

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 TX

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

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.

• Renaissance ICU Group

  • Critical Care Medicine (Internal Medicine) Physician
  • Edinburg, TX
  • NPI 1740715820

  Acute Care

  Medicare reassignment NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1407614308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6148",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026148",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395503",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785726613",
            "country_code": "US",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUMPALATH",
        "first_name": "AXA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1156976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Therapeutics PLLC
• Elisabeth Rae Perkins, LVN
• Erica Perkins, PHARMD
• Perla Flor Guzman D/B/a Paraiso de Angeles Adult Day Care
• Harlan Ray Perryman, LVN
• Pedro Pestana Jr., CRNA
• Kikelomo Peters, PHARMD
• Miguel Angel Petrozzi, M.D., P.A.
• Henrietta J Peynado, MSN,RN,FNP-BC,OCN
• Xuan-Hoai DO Pham

• Acute Care Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.