Juanitac Perkins FNP-BC Healthcare, P.a

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JUANITAC PERKINS FNP-BC HEALTHCARE, P.A

Practice address

3209 Guess Rd Ste 108
Durham, NC 27705-2692

Phone

(919) 943-9515

Fax

(866) 788-7843

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Juanita Consuela Perkins, FNPNPI 1225163744

Title

Owner

Phone

(919) 943-9515

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Juanita C Perkins FNP-BC Healthcare PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Juanita C Perkins FNP-BC Healthcare, P.a

  dba JuanitaC Perkins FNP-BC Healthcare

  • Family Medicine Physician
  • Durham, NC
  • NPI 1457942484
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanita Consuela Perkins, FNP-BC

  • Family Nurse Practitioner
  • Durham, NC
  • NPI 1225163744
  Medicare reassignment NPD Authorized official
• Brianna Nichole Joyner

  • Clinical Social Worker
  • Durham, NC
  • NPI 1720877525
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1710577184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 AUTUMN RIDGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277124601",
            "telephone_number": "919-943-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 GUESS RD STE 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052692",
            "telephone_number": "919-943-9515",
            "fax_number": "866-788-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITAC PERKINS FNP-BC HEALTHCARE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "CONSUELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-943-9515",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225163744",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.perkins@juanitaperkinshealthcare.org",
            "affiliation": "N",
            "endpointDescription": "HIPPA Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3209 Guess Rd Ste 108",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277052692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ju Chiropractic Wellness Center, P.a.
• Jua Valley Family Care Home #2 (Jua Valley Family Care Home)
• Juan J Alva MD PA
• Juanita C Perkins FNP-BC
• Juanita C Perkins FNP-BC Healthcare, P.a (JuanitaC Perkins FNP-BC Healthcare)
• Jennifer Juarez, M.ED. CCC-SLP
• Jubilee Home
• Alec Martin Judd, MD
• Chester Montelius Judd, MSW, LCSWA
• Melissa Erin Judson, MSN, APRN-BC

• Multi-Specialty Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.