Samantha Ann Perry, BA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5555 Conner St Ste 1038
Detroit, MI 48213-3487

Phone

(313) 308-0255

Fax

(313) 308-0270

NPI assigned

Dec 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1760953491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24945 BECK AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211463",
            "telephone_number": "313-743-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 1038",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133487",
            "telephone_number": "313-308-0255",
            "fax_number": "313-308-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basheba Perry
• Indya Elizabeth Perry, FNP-BC
• Jada Nicole Perry
• Leah Perry, MD
• Michael Lucas Perry, M.D.
• Sean Perry
• Shankeia Perry, RBT-19-77435
• Steven Perry
• Velisa L. Perry
• Erica Perryman

• Case Manager/Care Coordinator in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.