Lisa Perez, BA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

38629 Issued in TX

Practice address

2350 Airport Fwy Ste 150
Bedford, TX 76022-6050

Phone

(817) 508-0030

Fax

(877) 267-4771

NPI assigned

Feb 19, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1982104733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 AIRPORT FWY STE 150",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226050",
            "telephone_number": "817-508-0030",
            "fax_number": "877-267-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 AIRPORT FWY STE 150",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226050",
            "telephone_number": "817-508-0030",
            "fax_number": "877-267-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Peebles, MD
• Susan Yvonne Pelletier
• Angelica Pena, PTA
• Douglas Pena
• Blanche Penaredondo, LPC-ASSOCIATE
• Perla Dental of Bedford
• Kelly Marlene Persons, CRNFA
• Peter E. Grays MD Surgical Center PA
• John Michael Peters, M.D.
• Michael Peters, L.P.C.

• Speech-Language Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.