Active NPI
Jennifer Lee Perea, MS
- Health Educator
- Albuquerque, NM
National Provider Identifier
1992060248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1515 Eubank Blvd SE BLDG 832
Albuquerque, NM 87123-3453 - Phone
- (505) 845-9764
- Fax
- (505) 844-4091
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1515 Eubank Blvd SE BLDG 832
Albuquerque, NM 87123-3453
Mailing address
1515 Eubank Blvd SE BLDG 832
Albuquerque, NM 87123-3453
Phone (505) 845-9764
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Disease Management Clinic | 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 and National Provider Directory roles.
-
- Occupational Medicine Clinic/Center
- Albuquerque, NM
- NPI 1609164706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1992060248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 EUBANK BLVD SE BLDG 832",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233453",
"telephone_number": "505-845-9764",
"fax_number": "505-844-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EUBANK BLVD SE BLDG 832",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233453",
"telephone_number": "505-845-9764",
"fax_number": "505-844-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.