Active NPI
Deborah Perry
- Community Health Worker
- Pittsburgh, PA
National Provider Identifier
1669854691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 102814155
- Practice address
- 8533 Frankstown Rd
Pittsburgh, PA 15235-1045 - Phone
- (862) 252-0065
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 102814155 | PA | Primary |
Addresses
Primary practice location
8533 Frankstown Rd
Pittsburgh, PA 15235-1045
Mailing address
8533 Frankstown Rd
Pittsburgh, PA 15235-1045
Phone (862) 252-0065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102814155 | Other | PA | COMMUNITY HABILITATION RESIDENTIAL CARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102814155 | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1669854691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8533 FRANKSTOWN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152351045",
"telephone_number": "862-252-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8533 FRANKSTOWN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152351045",
"telephone_number": "862-252-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "102814155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HABILITATION RESIDENTIAL CARE PROVIDER",
"identifier": "102814155",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.