Active NPI
Henry Lewis Perry, RN
- Registered Nurse
- Long Beach, CA
National Provider Identifier
1902395502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 766291
- Practice address
- 65 Linden Ave Apt 30
Long Beach, CA 90802-5031 - Phone
- (562) 310-3215
- Fax
- (562) 612-0270
- NPI assigned
- May 9, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 766291 | CA | |
| Registered Nurse | 163W00000X | 766291 | CA | Primary |
Addresses
Primary practice location
65 Linden Ave Apt 30
Long Beach, CA 90802-5031
Mailing address
65 Linden Ave Apt 30
Long Beach, CA 90802-5031
Phone (562) 310-3215
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766291 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1902395502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 LINDEN AVE APT 30",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025031",
"telephone_number": "562-310-3215",
"fax_number": "562-612-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 LINDEN AVE APT 30",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025031",
"telephone_number": "562-310-3215",
"fax_number": "562-612-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "HENRY",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "766291",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "766291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.