Individual provider Active NPI

Rebecca Anne Perry, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1669294229
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1174007 Issued in TX
Practice address
390 E Oakenwald St Apt 555
Dallas, TX 75203-0917
Phone
(830) 832-4264
NPI assigned
Oct 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1174007 TX Primary

Addresses

Primary practice location

390 E Oakenwald St Apt 555
Dallas, TX 75203-0917

Mailing address

390 E Oakenwald St Apt 555
Dallas, TX 75203-0917
Phone (830) 832-4264

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
I20250404000105 TX Practitioner - Nurse Practitioner 7618491291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Allergy and Breathing Centers, P.a.Group PAC ID 6608922323, 7 clinicians

Practice addresses (Care Compare)

1611 N Belt Line Rd
Suite C
Mesquite, TX 75149-1792
Phone (972) 288-3471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1174007TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Allergy & Breathing Centers, P.a. CurrentSince Mar 28, 2025 Accepting new patients

Locations

1611 N Belt Line Rd
Ste C
Mesquite, TX 75149
Phone (972) 288-3471

Organizations & group practices 1

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": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1669294229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E OAKENWALD ST APT 555",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752030917",
            "telephone_number": "830-832-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E OAKENWALD ST APT 555",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752030917",
            "telephone_number": "830-832-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1174007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.