Active NPI
Lisa M Perez
- Early Intervention Provider Agency
- Bethlehem, PA
National Provider Identifier
1962751453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- SL006181L
- Legal business name
- LISA M PEREZ
- Practice address
- 4009 Redwood Dr
Bethlehem, PA 18020 - Phone
- (610) 653-3143
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Marie Peerez, MS
- Title
- Sole Proprietor
- Phone
- (610) 653-3143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | SL006181L | PA | Primary |
Addresses
Primary practice location
4009 Redwood Dr
Bethlehem, PA 18020
Mailing address
4009 Redwood Dr
Bethlehem, PA 18020
Phone (610) 653-3143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DOING BUSINESS | Other | PA | DOING BUSINESS |
National Provider Directory
National Provider Directory- Tax ID family
- Lisa M Perez
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lisa M Perez MS CCC-SLP
- Early Intervention Provider Agency
- Bethlehem, PA
- NPI 1730590233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1962751453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 REDWOOD DR",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-653-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 REDWOOD DR",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-653-3143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA M PEREZ",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "PEEREZ",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "610-653-3143",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "PA",
"license": "SL006181L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOING BUSINESS",
"identifier": "DOING BUSINESS",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.