Individual provider Active NPI

Monica Holloway Perez-Verdia

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1508316324
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115052 Issued in AK
Practice address
4200 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5226
Phone
(907) 338-2273
Fax
(907) 338-2284
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115052 AK Primary

Addresses

Primary practice location

4200 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5226

Mailing address

2500 W 66TH Ave
Anchorage, AK 99502-2205
Phone (907) 952-0021

Other names 1

  • Monica Perez-Verdia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1508316324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 66TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022205",
            "telephone_number": "907-952-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-338-2273",
            "fax_number": "907-338-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-VERDIA",
        "first_name": "MONICA",
        "middle_name": "HOLLOWAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "115052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "PEREZ-VERDIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.