Stacey Lynn Perez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0068749 Issued in OK

Practice address

10820 NW 38TH Ter
Yukon, OK 73099-2925

Phone

(405) 795-9309

NPI assigned

Apr 4, 2014

Last updated

Apr 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lynn Perez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1821416934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 NW 38TH TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992925",
            "telephone_number": "405-795-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 NW 38TH TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992925",
            "telephone_number": "405-795-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0068749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PEREZ",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jana Pearson, CCC-SLP
• Pediatric Dental Care, PLLC
• Natalie Michelle Penick
• Allyson Nicole Perez, COTA
• Ana Sophia Perez, RBT
• Dylan Perkins
• Leslie Perkins, RBT
• Judy McKay Perrin, RBT
• Ashley K Perry, LPC
• Benton J Perry, D.M.D

• Registered Nurse in Yukon, OK
• Providers in Yukon, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.