Active NPI
Vanessa Marie Perry, RN, PNP
- Pediatric Nurse Practitioner
- Rochester, NY
National Provider Identifier
1831475698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5019933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 636479 | NY | |
| Registered Nurse | 163W00000X | 330796 | NC | |
| Pediatric Nurse Practitioner | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 636479-1 | NY | MD | Registered Nurse |
| 5019933 | NC | MD | Pediatric Nurse Practitioner |
| 383264 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| County of Monroe | Past | Accepting new patients |
Interoperability endpoints
- vperry1468667@direct.novanthealth.org
- 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.
-
- Public Health or Welfare Agency
- Rochester, NY
- NPI 1447393632
-
- State or Local Public Health Clinic/Center
- Rochester, NY
- NPI 1861751331
-
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1558308080
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.