Individual provider Active NPI

Patricia Eileen Perry

  • Non-emergency Medical Transport (VAN)
  • Shelton, WA
National Provider Identifier
1811604481
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
581 SE Fireweed Rd
Shelton, WA 98584-7615
Phone
(360) 427-0202
Fax
(844) 890-6022
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

581 SE Fireweed Rd
Shelton, WA 98584-7615

Mailing address

581 SE Fireweed Rd
Shelton, WA 98584-7615
Phone (360) 427-0202

Other names 1

  • Ms. Patty Eileen Perry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1811604481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SE FIREWEED RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847615",
            "telephone_number": "360-427-0202",
            "fax_number": "844-890-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 SE FIREWEED RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847615",
            "telephone_number": "360-427-0202",
            "fax_number": "844-890-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "PATRICIA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "PERRY",
            "middle_name": "EILEEN",
            "prefix": "MS.",
            "credential": "NICKNAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.