Individual provider Active NPI

Crystal Veronica Perez, FNP

  • Family Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1558796417
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
765964 Issued in TX
Practice address
906 S Bridge Ave
330 N. Ohio Mercedes, Texas 78570
Weslaco, TX 78596-7129
Phone
(956) 447-8600
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 765964 TX Primary

Addresses

Primary practice location

906 S Bridge Ave
330 N. Ohio Mercedes, Texas 78570
Weslaco, TX 78596-7129

Mailing address

906 S Bridge Ave
330 N. Ohio Mercedes, Texas 78570
Weslaco, TX 78596-7129
Phone (956) 447-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
765964TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1558796417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S BRIDGE AVE",
            "address_2": "330 N. OHIO MERCEDES, TEXAS 78570",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967129",
            "telephone_number": "956-447-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S BRIDGE AVE",
            "address_2": "330 N. OHIO MERCEDES, TEXAS 78570",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967129",
            "telephone_number": "956-447-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CRYSTAL",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "765964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.