Nelissa Marie Perez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

609 W Labbe St
San Diego, TX 78384-3420

Phone

(361) 279-3382

NPI assigned

Aug 25, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Ramirez Common School District

  • Local Education Agency (LEA)
  • Realitos, TX
  • NPI 1639393796
  NPD (past)
• San Diego Independent School District

  • Local Education Agency (LEA)
  • San Diego, TX
  • NPI 1376688408
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1942929518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 FM 716",
            "city": "CONCEPCION",
            "state": "TX",
            "postal_code": "783493504",
            "telephone_number": "361-701-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W LABBE ST",
            "city": "SAN DIEGO",
            "state": "TX",
            "postal_code": "783843420",
            "telephone_number": "361-279-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W School St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "783410985",
            "country_code": "US",
            "telephone_number": "361-256-3000 x3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10492 School St",
            "address_purpose": "LOCATION",
            "city": "Realitos",
            "state": "TX",
            "postal_code": "783762644",
            "country_code": "US",
            "telephone_number": "361-539-4343",
            "fax_number": "361-539-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsperez@sdisd.us",
            "affiliation": "N",
            "address_1": "609 W Labbe St",
            "city": "San Diego",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783843420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• San Diego Independent School District
• Anabel Trevino

• Speech-Language Pathologist in San Diego, TX
• Providers in San Diego, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.