Susanna Claire Perry, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP136143 Issued in TX

Practice address

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239

Phone

(469) 200-3272

NPI assigned

Dec 9, 2017

Sex

Female

Sole proprietor

No

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.

• Hospice Austin

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1376503201
  NPD (past)
• Hospice Brazos Valley, Inc.

  • Community Based Hospice Care Agency
  • Bryan, TX
  • NPI 1245232149
  NPD (past)
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: susanna.perry@552337174953988.direct.elationemr.com
• Direct secure messaging: sperry@landmarkhealth-direct.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2024.

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1871008045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11504 RUNNING BRUSH LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174849",
            "telephone_number": "512-709-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382239",
            "telephone_number": "469-200-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Spicewood Springs Rd # 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598723",
            "country_code": "US",
            "telephone_number": "512-737-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4107 Spicewood Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598645",
            "country_code": "US",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SUSANNA",
        "middle_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP136143",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136143",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "721960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378953902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Carmina Perez, M.D.
• Natalie Perez
• Perfect Care PLLC
• Steve Perkins, MD
• Kara J Perry
• Traci Alisia Perry, LCSW
• Avani Persaud, LMSW
• Peter C. W. Gonzales, M.D., P.a.
• S Wincy Peveto Tomecko, MD
• Monica Pfaff, R.PH.

• All providers in Irving, TX
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.