Active NPI
Mary E Perez, R.N.
- Adult Psychiatric/Mental Health Registered Nurse
- Albuquerque, NM
National Provider Identifier
1508199571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- R62653
- Practice address
- 622 Manzano St NE
Albuquerque, NM 87110-6302 - Phone
- (505) 925-4045
- NPI assigned
- Sep 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R62653 | NM | Primary |
Addresses
Primary practice location
622 Manzano St NE
Albuquerque, NM 87110-6302
Mailing address
2600 Marble Ave NE
Albuquerque, NM 87106-2058
Phone (505) 272-4648
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R62653 | NM | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1508199571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 MARBLE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062058",
"telephone_number": "505-272-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 MANZANO ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871106302",
"telephone_number": "505-925-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARY",
"middle_name": "E",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NM",
"license": "R62653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.