Evangelina Perez, X-RAY TECHNICIAN MIL

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Practice address

301 Andrews Ave
Lyster Army Health Clinic BLDG
Fort Rucker, AL 36362

Phone

(334) 255-7000

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1831501485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC BLDG",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EVANGELINA",
        "credential": "X-RAY TECHNICIAN MIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony B Patterson, MD
• Joseph John Pavelites I, MD
• Douglas John Pawlik, P.T., A.T.C.
• Tammy Ellen Peacock, PH.D., LCSW
• Eric Winston Pelkey, NREMT-P
• Carol Perry, LPN
• James Lloyd Persson, M.D.
• Carolyn Peterson
• Sarah Peterson, CONTACT REP.
• Elizabeth A. Petty

• Radiologic Technologist in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Radiologic Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.