Individual provider Active NPI

Tessa Sheree Perry, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1508840836
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R149420 Issued in MD
Practice address
1829 Reisterstown Rd Ste 355
Pikesville, MD 21208
Phone
(443) 943-6057
Fax
(443) 552-7439
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R149420 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R149420 MD Primary

Addresses

Primary practice location

1829 Reisterstown Rd Ste 355
Pikesville, MD 21208

Mailing address

1829 Reisterstown Rd Ste 355
Pikesville, MD 21208-6320
Phone (443) 943-6057

Other practice location 1

7900 E Union Ave
Denver, CO 80237-2735
Phone (443) 943-6057

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R149420MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TSG Mental Health Services LLC Psychiatric/Mental Health Current Accepting new patients
TSG Mental Health Services LLC Psychiatric/Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tessa.george.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1508840836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 355",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086320",
            "telephone_number": "443-943-6057",
            "fax_number": "443-552-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 355",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "443-943-6057",
            "fax_number": "443-552-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 E Union Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802372735",
            "country_code": "US",
            "telephone_number": "443-943-6057",
            "fax_number": "443-552-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "TESSA",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R149420",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R149420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.