Active NPI
Tisha Marie Perreira I, APRN. CNP.021231
- Nurse Practitioner
- Westerville, OH
National Provider Identifier
1861919086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 021231
- Practice address
- 457 Woodview Rd
Westerville, OH 43081-3050 - Phone
- (614) 282-6344
- NPI assigned
- Aug 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 021231 | OH | Primary |
Addresses
Primary practice location
457 Woodview Rd
Westerville, OH 43081-3050
Mailing address
457 Woodview Rd
Westerville, OH 43081-3050
Phone (614) 282-6344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021231 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1861919086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 WOODVIEW RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813050",
"telephone_number": "614-282-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 WOODVIEW RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813050",
"telephone_number": "614-282-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERREIRA",
"first_name": "TISHA",
"middle_name": "MARIE",
"name_suffix": "I",
"credential": "APRN. CNP.021231",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "021231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.