Active NPI
Carrie L Perez, FNP-BC, RN
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 80854
- Practice address
- 800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310 - Phone
- (505) 350-7643
- Fax
- (689) 202-2104
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-80379 | NM | |
| Family Nurse Practitioner | 363LF0000X | 80854 | NM | Primary |
Addresses
Primary practice location
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Mailing address
9313 Academy Hills Dr NE
Albuquerque, NM 87111-1302
Phone (505) 350-7643
Other names 1
- Carrie Lopez de Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 W Hickory St
Deming Health Center Behavioral Health
Deming, NM 88030-4046
Phone (575) 546-2174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-80379 | NM | MD | School Registered Nurse |
| 80854 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kewa Pueblo Health Corporation | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Kewa Pueblo Health Corporation | Past | Accepting new patients |
Locations
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060
Interoperability endpoints
- carrie.perez.1@17367.direct.athenahealth.com
- carrie.perezcfnpunmlocum.p1@direct.pmsnm.nextgenshare.com
Organizations & group practices 5
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.
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Federally Qualified Health Center (FQHC)
- Santo Domingo Pueblo, NM
- NPI 1467739888
TX
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
dba Alamogordo Family Health Center
- Federally Qualified Health Center (FQHC)
- Alamogordo, NM
- NPI 1821341488
-
- Community/Behavioral Health Agency
- Santo Domingo Pueblo, NM
- NPI 1336659077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1467949610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 ACADEMY HILLS DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111302",
"telephone_number": "505-350-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BRADBURY DR SE STE 116",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064310",
"telephone_number": "505-350-7643",
"fax_number": "689-202-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CARRIE",
"middle_name": "L",
"credential": "FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "RN-80379",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "80854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "LOPEZ DE PEREZ",
"credential": "FNP-BC, RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.