Lizbeth De Jesus Perez de Lizama

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1401366259 Issued in NV

Practice address

4436 Fenton LN
North Las Vegas, NV 89032-0141

Phone

(702) 637-6084

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1649826207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 FENTON LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320141",
            "telephone_number": "702-637-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 FENTON LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320141",
            "telephone_number": "702-637-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LIZAMA",
        "first_name": "LIZBETH",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "1401366259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401366259",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Prithvi Pereira, B.S., M.D.
• Emel Roberto Perez Blasco
• Anay Perez Carrasco
• Ebelin Perez Covarruvias
• Abel Perez de la Iglesia
• Jeannell Perez Duran
• Guadalupe Perez Gonzalez
• Jorge Carlos Perez Infante
• Sergio Perez Olvera
• Aleyda Gabriela Perez Rodriguez

• Personal Care Attendant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.