Individual provider Active NPI

Margaret Elaine Perez, APRN, BC

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1770533671
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP1377 Issued in AZ
Practice address
1331 N. 7TH St
400
Phoenix, AZ 85006-2779
Phone
(602) 277-6181
Fax
(602) 253-6059
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP1377 AZ Primary
Registered Nurse 163W00000X RN042325 AZ

Addresses

Primary practice location

1331 N. 7TH St
400
Phoenix, AZ 85006-2779

Mailing address

1331 N. 7TH St.
Suite 400
Phoenix, AZ 85006-2779
Phone (602) 277-6181

Other identifiers 1

IdentifierTypeStateIssuer
840167MedicaidAZ

Other names 1

  • M Elaine Perez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN042325AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Ravi MD Facc PC CurrentSince Oct 13, 2018 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince Oct 13, 2018 Accepting new patients
Southwest Cardiology Associates PC Past Accepting new patients

Locations

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1770533671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N. 7TH ST.",
            "address_2": "SUITE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062779",
            "telephone_number": "602-277-6181",
            "fax_number": "602-253-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N. 7TH ST",
            "address_2": "400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062779",
            "telephone_number": "602-277-6181",
            "fax_number": "602-253-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARGARET",
        "middle_name": "ELAINE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP1377",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN042325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840167",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "PEREZ",
            "middle_name": "ELAINE",
            "credential": "APRN, BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.