Lynise Perry, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX4713 Issued in MD

Practice address

638 Independence Pkwy
Ste 240
Chesapeake, VA 23320-5222

Phone

(234) 564-3726

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1770065922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 RIVER CREEK RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206233",
            "telephone_number": "234-564-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 INDEPENDENCE PKWY",
            "address_2": "STE 240",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205222",
            "telephone_number": "234-564-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LYNISE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4713",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M Perry
• David Dennis Perry
• Haley E. Perry
• Heather Lynn Perry, CNM
• Jennifer Lee Perry
• Megan Perry
• Perseverance Home Health LLC
• Persevering Families & Counseling, LLC
• Jacey Persinger
• Person Centered Support Services, LLC

• Nutritionist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.