Kelly Lynn Perez, C.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.18134-NP Issued in OH

Practice address

4875 Higbee Ave NW
Canton, OH 44718-2566

Phone

(330) 492-3345

Fax

(330) 491-9758

NPI assigned

Oct 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Lynn Rowland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1902277643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "330-353-1808",
            "fax_number": "330-491-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "330-492-3345",
            "fax_number": "330-491-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.18134-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ROWLAND",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer M Perdue, RD,LD
• Peregrine Services of Canton, LLC
• Jessica Perez-Carrillo
• Danielle Perez, RN, BSN
• Eric Perez, D.C.
• Perfect Choice Provider Services LLC
• Perinatal & Pediatric Services Inc
• Jewel Lenora Perkins
• Sarah Ann Perkins
• Savannah Christine Perkins

• Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.