Individual provider Active NPI

Vanessa Marie Perry, RN, PNP

  • Pediatric Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1831475698
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5019933 Issued in NC
Practice address
451 E Henrietta Rd
Rochester, NY 14620-4629
Phone
(585) 753-5927
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 636479 NY
Registered Nurse 163W00000X 330796 NC
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 5019933 NC Primary

Addresses

Primary practice location

451 E Henrietta Rd
Rochester, NY 14620-4629

Mailing address

PO Box 143
Paw Creek, NC 28130-0143
Phone (585) 355-9192

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
636479-1NYMDRegistered Nurse
5019933NCMDPediatric Nurse Practitioner
383264NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Roots, PLLC Pediatrics Past Accepting new patients
The C.W. Williams Community Health Center, Inc Past Accepting new patients
Monroe County Department of Health PastSince Nov 21, 2021 Accepting new patients
County of Monroe PastSince Nov 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vperry1468667@direct.novanthealth.org
  • Direct secure messaging: vanessa.perry.1@12412.direct.athenahealth.com

Organizations & group practices 4

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1831475698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "PAW CREEK",
            "state": "NC",
            "postal_code": "281300143",
            "telephone_number": "585-355-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-753-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "RN, PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636479",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "330796",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5019933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.