Beata Joanna Perzydlo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11494 Issued in AZ

Practice address

5756 E Vuelta de Ladrillo Amarillo
Tucson, AZ 85756-8492

Phone

(520) 203-6534

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1942780408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 E VUELTA DE LADRILLO AMARILLO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568492",
            "telephone_number": "520-203-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 E VUELTA DE LADRILLO AMARILLO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568492",
            "telephone_number": "520-203-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERZYDLO",
        "first_name": "BEATA",
        "middle_name": "JOANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perspectives Counseling Services, LLC
• Justyna Jadwiga Perucka-Palomino, M.D.
• Muhammad Ijaz Pervez, MD
• Sarah Perveze, MD
• Zeeshan Perveze, M.D.
• Dan Pesicka, RPH
• Joy B Peskin, MD
• Tyler Pesqueira, PHARMD
• Peter Klinger MD LLC
• Peter Langenfeld OD PC

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.