Individual provider Active NPI

Lisa Maria Perino, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flat Rock, NC
National Provider Identifier
1710906524
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2002-01396 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone
(828) 692-6178
Fax
(828) 233-0358
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2002-01396 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other identifiers 2

IdentifierTypeStateIssuer
89136YKMedicaidNC
136YKOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170210000949 WA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0547214082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-01396NCMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of California, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Inpatient Consultants of California, Inc CurrentSince Feb 1, 2017 Accepting new patients
Sisters of Mercy Urgent Care Inc PastSince Jun 8, 2025 Accepting new patients

Locations

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

7411 N Nevada St
Spokane, WA 99208
Phone (509) 489-2273

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1710906524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-233-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-233-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINO",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2002-01396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136YK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "136YK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.