Kimberly Ann Perez, CNM, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

69168 Issued in NM

Practice address

1703 1/2 Lena St
Santa Fe, NM 87505-2001

Phone

(505) 309-0690

NPI assigned

Jul 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Certified Nurse Practitioner

State licenses

Practice roles

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1811372857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 PLAZA BLANCA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075343",
            "telephone_number": "505-795-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 1/2 LENA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052001",
            "telephone_number": "505-309-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CNM, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "69168",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN 0991807-CNM",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BOARD OF NURSING",
            "identifier": "APNCNP69168",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "APN 0991807",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Perez-Granados, BMS
• Catalina Perez-Lacey, M.D.
• Anita Ana Perez
• Elisa Marie Perez
• Helga E Perez, LPCC
• Perfect Piece LLC
• Perfect Teeth - Plaza del Sol P.C.
• Stephen Perlstein, D.C.
• Barbara A Pero, M.D.
• Kim Marie Perrier, MA, LPCC

• Women's Health Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.