Individual provider Active NPI

Emily Ann Perry, MSN, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1659112324
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1151439 Issued in TX
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

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002893 TX Practitioner - Nurse Practitioner 8325581655 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
1151439TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince May 28, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Nov 10, 2024 Accepting new patients
Texas Oncology PA CurrentSince May 11, 2024 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Dec 1, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince May 28, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.