Active NPI
Denise Joanne Pero, NP
- Adult Health Nurse Practitioner
- Erie, PA
National Provider Identifier
1902046501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP015984
- Practice address
- 271 Edgewater Cir
Erie, PA 16509-3785 - Phone
- (805) 390-0550
- NPI assigned
- Feb 23, 2009
- Last updated
- Mar 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 532854 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP015984 | PA | Primary |
Addresses
Primary practice location
271 Edgewater Cir
Erie, PA 16509-3785
Mailing address
271 Edgewater Cir
Erie, PA 16509-3785
Phone (805) 390-0550
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12747 | CA | MD | Occupational Therapist |
| 532854 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1902046501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 EDGEWATER CIR",
"city": "ERIE",
"state": "PA",
"postal_code": "165093785",
"telephone_number": "805-390-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 EDGEWATER CIR",
"city": "ERIE",
"state": "PA",
"postal_code": "165093785",
"telephone_number": "805-390-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERO",
"first_name": "DENISE",
"middle_name": "JOANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "532854",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP015984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.