Brieann Peralta

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

65313 Issued in NM

Practice address

9833 Stone St NW
Albuquerque, NM 87114-4416

Phone

(505) 450-2930

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1447926852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4-796",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131946",
            "telephone_number": "505-450-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 STONE ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144416",
            "telephone_number": "505-450-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Juan Tabo Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113979",
            "country_code": "US",
            "telephone_number": "505-450-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "BRIEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "F08210364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "65313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peppermint Dental-Rio Bravo LLC
• Peppermint Dental-San Mateo PLLC
• Sara Pepple, CNTP
• Peptineo LLC
• Anna Peralta, LMHC
• Joshua Ray Peralta, LMSW, LCSW-P
• Nikka Peralta
• Candace L. Percifull, APN
• Martika Percy, MD
• Daniel John Perdaems

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.