Individual provider Active NPI

Patricia Rose Perez, CPSW

  • Peer Specialist
  • Silver City, NM
National Provider Identifier
1932810884
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1446 Issued in NM
Practice address
610 N Silver St
Silver City, NM 88061-6779
Phone
(575) 956-6131
Fax
(575) 956-4971
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1446 NM
Peer Specialist 175T00000X 1446 NM Primary

Addresses

Primary practice location

610 N Silver St
Silver City, NM 88061-6779

Mailing address

610 N Silver St
Silver City, NM 88061-6779
Phone (575) 956-6131

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL trisha.spinhousingnm@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Supporting People in Need Social Worker Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1932810884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616779",
            "telephone_number": "575-956-6131",
            "fax_number": "575-956-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616779",
            "telephone_number": "575-956-6131",
            "fax_number": "575-956-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "credential": "CPSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "1446",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "trisha.spinhousingnm@gmail.com",
            "affiliation": "N",
            "address_1": "610 N Silver St",
            "city": "Silver City",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880616779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 12, 2022; 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.