Individual provider Active NPI

Lisa Perez, MSN RN AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1699192260
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
537708 Issued in TX
Practice address
2208 Lipscomb St
Ft Worth, TX 76110-2049
Phone
(817) 921-3307
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 537708 TX Primary
Gerontology Nurse Practitioner 363LG0600X 537708 TX

Addresses

Primary practice location

2208 Lipscomb St
Ft Worth, TX 76110-2049

Mailing address

2208 Lipscomb St
Ft Worth, TX 76110-2049

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
I20140619001511 TX Practitioner - Nurse Practitioner 4981828654 Reassigns benefits to 1 organization
Practice locations: Ft Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 8TH Ave
Suite 545
Fort Worth, TX 76104-4160
Phone (817) 922-2432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
537708TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wocnt PLLC Adult Health CurrentSince Apr 17, 2018 Accepting new patients

Locations

1250 8th Ave
Ste 545
Fort Worth, TX 76104
Phone (817) 912-8080

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1699192260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 LIPSCOMB ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761102049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 LIPSCOMB ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761102049",
            "telephone_number": "817-921-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISA",
        "credential": "MSN RN AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "537708",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "537708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.