Active NPI
Emily Ann Perry, MSN, APRN, AGNP-C
- Adult Health Nurse Practitioner
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1151439
- Practice address
- 505 S Nolen Dr
Southlake, TX 76092-9167 - Phone
- (817) 424-1525
- NPI assigned
- Jun 5, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1151439 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1151439 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 1151439 | TX | Primary |
Addresses
Primary practice location
505 S Nolen Dr
Southlake, TX 76092-9167
Mailing address
8267 Elmbrook Dr
Dallas, TX 75247-4030
Phone (214) 623-6242
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7515 Greenville Ave
Suite 505
Dallas, TX 75231-3822
Phone (877) 448-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151439 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Nurse Practitioner | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients |
Locations
901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
2003 E Lamar Blvd
Ste 100
Arlington, TX 76006
12319 N Mopac Expy
Ste 210
Austin, TX 78758
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
8230 Walnut Hill Ln
Ste 610
Dallas, TX 75231
Phone (214) 345-7398
7515 Greenville Ave
Ste 505
Dallas, TX 75231
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
9750 Hillwood Pkwy
Ft Worth, TX 76177
Phone (817) 697-5620
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
5236 W University Dr
Ste 3300
McKinney, TX 75071
Phone (972) 432-7958
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
505 S Nolen Dr
Southlake, TX 76092
Phone (817) 424-1525
8111 Cypresswood Dr
Ste 106
Spring, TX 77379
Phone (281) 370-9331
14875 Southwest Fwy
Sugar Land, TX 77478
Interoperability endpoints
- emily.perry@txo.ikm.direct-ci.com
Organizations & group practices 7
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.
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
Nurse Practitioner, TX
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1659112324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8267 ELMBROOK DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474030",
"telephone_number": "214-623-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S NOLEN DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929167",
"telephone_number": "817-424-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "MSN, APRN, AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1151439",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1151439",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1151439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.