Individual provider Active NPI

Linda Perez

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1568074177
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1112068 Issued in TX
Practice address
6600 Montana Ave Ste P
El Paso, TX 79925-2149
Phone
(915) 671-1371
Fax
(915) 219-9022
NPI assigned
Aug 17, 2020
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112068 TX Primary
Registered Nurse 163W00000X 877852 TX

Addresses

Primary practice location

6600 Montana Ave Ste P
El Paso, TX 79925-2149

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5600
Phone (915) 671-1371

Other practice location 1

2211 E Missouri Ave Ste 310
El Paso, TX 79903-3837
Phone (915) 562-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330000587 TX Practitioner - Nurse Practitioner 9436523693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Mente Behavioral Health LLCGroup PAC ID 7911325287, 14 clinicians

Practice addresses (Care Compare)

6600 Montana Ave
Suite P
El Paso, TX 79925-2149
Phone (915) 201-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
877852TXMDRegistered Nurse
1112068TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Mente Behavioral Health LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
El Paso Child Guidance Center Inc CurrentSince Apr 1, 2023 Accepting new patients
Louis M Alpern, M.D., M.P.H., P.a. PastSince Mar 1, 2023 Accepting new patients
El Paso Child Guidance Center Past Accepting new patients

Locations

1030 N Zaragoza Rd
Ste Y
El Paso, TX 79907
Phone (915) 201-0199

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

2211 E Missouri Ave
Ste 310
El Paso, TX 79903
Phone (915) 562-1999

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

6600 Montana Ave
Ste P
El Paso, TX 79925
Phone (915) 201-0199

8825 N Loop Dr
Ste 103
El Paso, TX 79907
Phone (915) 201-0199

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1568074177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MONTANA AVE STE P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252149",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 E Missouri Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799033837",
            "country_code": "US",
            "telephone_number": "915-562-1999",
            "fax_number": "915-562-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-03-18",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112068",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "877852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.