Active NPI
Ian Marie De Peralta Carino, APRN, FNP-C
- Family Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1679460190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1203517
- Practice address
- 6330 Saratoga Blvd
Corpus Christi, TX 78414-3481 - Phone
- (361) 415-2414
- NPI assigned
- Jun 18, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1203517 | TX | Primary |
Addresses
Primary practice location
6330 Saratoga Blvd
Corpus Christi, TX 78414-3481
Mailing address
PO Box 270432
Corpus Christi, TX 78427-0432
Phone (361) 765-4713
Other names 1
- Miss Ian Marie Parra De Peralta
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 |
|---|---|---|---|
| 1203517 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1679460190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270432",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784270432",
"telephone_number": "361-765-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143481",
"telephone_number": "361-415-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARINO",
"first_name": "IAN MARIE",
"middle_name": "DE PERALTA",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1203517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IAN MARIE",
"last_name": "DE PERALTA",
"middle_name": "PARRA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.