Individual provider Active NPI

Patricia Perez, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679460919
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
242041 Issued in AZ
Practice address
13402 N 32ND St
Phoenix, AZ 85032-6047
Phone
(602) 569-3999
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 242041 AZ Primary

Addresses

Primary practice location

13402 N 32ND St
Phoenix, AZ 85032-6047

Mailing address

13402 N 32ND St
Phoenix, AZ 85032-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251126004280 AZ Practitioner - Nurse Practitioner 8527550490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

13402 N 32ND St
Suite 5
Phoenix, AZ 85032-6047
Phone (602) 569-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242041AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC CurrentSince Sep 14, 2025 Accepting new patients
Desert Kidney Associates PLC PastSince Sep 14, 2025 Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

13402 N 32nd St
Phoenix, AZ 85032

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

Organizations & group practices 2

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1679460919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.