Active NPI
Krystal Marie Perea
- School Social Worker
- Silver City, NM
National Provider Identifier
1902447998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 2570 N. Swan St
Silver City, NM 88065 - Phone
- (575) 956-2040
- NPI assigned
- Oct 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | NM | Primary |
Addresses
Primary practice location
2570 N. Swan St
Silver City, NM 88065
Mailing address
PO Box 379
Tyrone, NM 88065-0379
Phone (575) 313-5518
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1902447998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 379",
"city": "TYRONE",
"state": "NM",
"postal_code": "880650379",
"telephone_number": "575-313-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 N. SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88065",
"telephone_number": "575-956-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "KRYSTAL",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2023-02-24",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.