Individual provider Active NPI

Jasmine Rose Pereira, RN

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1609561109
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP342921 Issued in AZ
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

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
RN209332AZMDEmergency 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

Verify at the official NPI Registry.