Active NPI
Jasmine Rose Pereira, RN
- Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1609561109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RNP342921
- Practice address
- 7089 N Thornydale Rd Ste 101
Tucson, AZ 85741-2728 - Phone
- (970) 810-1016
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RNP342921 | AZ | Primary |
| Emergency Registered Nurse | 163WE0003X | RN209332 | AZ |
Addresses
Primary practice location
7089 N Thornydale Rd Ste 101
Tucson, AZ 85741-2728
Mailing address
7570 S Malcolm Ave
Tucson, AZ 85746-2529
Phone (520) 603-0446
Other practice location 1
HWY 86 at Topawa Road
Sells, AZ 85634
Phone (520) 383-7200
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Zotec Way
Carmel, IN 46032-0052
PO Box
Suite 2916
Phoenix, AZ 85062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN209332 | AZ | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1609561109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 S MALCOLM AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857462529",
"telephone_number": "520-603-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7089 N THORNYDALE RD STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412728",
"telephone_number": "970-810-1016"
}
],
"practiceLocations": [
{
"address_1": "HWY 86 at Topawa Road",
"address_purpose": "LOCATION",
"city": "Sells",
"state": "AZ",
"postal_code": "85634",
"country_code": "US",
"telephone_number": "520-383-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREIRA",
"first_name": "JASMINE",
"middle_name": "ROSE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RNP342921",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "AZ",
"license": "RN209332",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.