Nelly Marie Perez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09887 Issued in TX

Practice address

6573 Headquarters Dr
Plano, TX 75024

Phone

(469) 292-9020

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992071104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6573 HEADQUARTERS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "469-292-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6573 HEADQUARTERS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "469-292-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5910 N MacArthur Blvd",
            "address_2": "Suite 133",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393835",
            "country_code": "US",
            "telephone_number": "407-928-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09887",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emrie Marie Perez-Fernandez, DPT
• Victor Manuel Perez-Montelongo, PTA
• Ariel Perez, APRN
• Lorenzo Fredi Perez, M.D.
• Mary Kristel Perez, PT
• Performance Chiropractic & Sports Medicine
• Carolyn Perich, SLP
• Jessica Monsha Perkins, APRN, FNP-C
• Surekha Perlman, M.D.
• Perpetual Care LLC

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.