Active NPI
Judith Jebet Perez, NP
- Family Nurse Practitioner
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1075249
- Practice address
- 2240 Gulf Fwy S Ste 2.100
League City, TX 77573-5143 - Phone
- (832) 505-1600
- NPI assigned
- Jun 2, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1075249 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP1075249 | TX | |
| Family Nurse Practitioner | 363LF0000X | 63272 | NM | |
| Family Nurse Practitioner | 363LF0000X | 1075249 | TX | Primary |
Addresses
Primary practice location
2240 Gulf Fwy S Ste 2.100
League City, TX 77573-5143
Mailing address
3330 Spencer Hwy
Pasadena, TX 77504-1106
Other practice location 1
6211 4th St NW Ste 10&40
Albuquerque, NM 87107-5761
Phone (888) 852-1988
Other practice location 2
3330 Spencer Hwy
Pasadena, TX 77504-1106
Phone (210) 698-9841
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 Gulf Fwy S
Suite 2.100
League City, TX 77573-5143
Phone (832) 505-1800
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075249 | TX | MD | Nurse Practitioner |
| 63272 | NM | MD | Family Nurse Practitioner |
| AP1075249 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Cano Health, LLC | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2240 Gulf Fwy S
Ste 2100
League City, TX 77573
Phone (832) 505-1600
Interoperability endpoints
- jchumbarn29423@direct.utmb.edu
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1609442391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 SPENCER HWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 GULF FWY S STE 2.100",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735143",
"telephone_number": "832-505-1600"
}
],
"practiceLocations": [
{
"address_1": "6211 4th St NW Ste 10&40",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871075761",
"country_code": "US",
"telephone_number": "888-852-1988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Spencer Hwy",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775041106",
"country_code": "US",
"telephone_number": "210-698-9841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "JUDITH",
"middle_name": "JEBET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1075249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP1075249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "63272",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1075249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
- Julie Payne, M.A., MFT
- Erika Ramos Paz
- Jessica Peck, DNP, RN, CPNP-PC
- Pediatric Immediate Care of Texas, PLLC
- Stephanie Marie Perez-Self, M.S. SLP
- Massiel Marie Perez, RPH
- Adam Armando Pereznegron
- Performance Pain and Sports Medicine, PLLC
- Clarissa Ava Perkins-Stafford
- Erika Jane Perry, RN, CNOR, RNFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.