MS. PATRICIA C PEREZ, ARNP - NPI NUMBER 1033185616

Summary

Provider Name: MS. PATRICIA C PEREZ, ARNP

NPI Number: 1033185616

Clasification: Nurse Practitioner (363L00000X)

Organization: SHAHRAD MABOURAKH MD PA

Address:
6463 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319

Phone Number: (954) 720-1414



Detailed Information

MS. Patricia C Perez, ARNP is a nurse practitioner in Tamarac, FL with 21 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. The assigned NPI number for this provider is 1033185616 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

6463 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319-110
Phone: (954) 720-1414
Fax: (954) 720-4727

The enumeration date for this NPI number is 2/24/2006 and was last updated on 4/22/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363L00000X Nurse Practitioner ARNP1188522 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 Y2811Y MEDICARE PIN FL
2 S72803 MEDICARE UPIN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1033185616 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name PEREZ The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name PATRICIA The first name of the provider, if the provider is an individual.
5 Provider Middle Name C The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text MS. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text ARNP The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider First Line Business Practice Location Address 6463 W COMMERCIAL BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name TAMARAC The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 333192110 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 9547201414 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 9547204727 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 2/24/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 4/22/2013 The date that a record was last updated or changed.
17 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
18 Healthcare Provider Taxonomy Code 1 363L00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 ARNP1188522 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 Y2811Y Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier State 1 FL
25 Other Provider Identifier 2 S72803 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier Type Code 2 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
27 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1003212762 RALITZA GEORGIEVA Individual Nurse Practitioner (Critical Care Medicine)
1033528773 MISS KELLY RUPP, ARNP Individual Nurse Practitioner
1144636804 MS. MAUREEN HEALY, NURSE PRACTITIONER Individual Nurse Practitioner
1154385060 GESSY J FRANCOIS, ARNP Individual Nurse Practitioner
1023109931 MRS. MICHELLE LIGONDE-MERISIO, ARNP-BC Individual Nurse Practitioner (Family)
1073816823 LAURA M BENNETT, ARNP Individual Nurse Practitioner (Family)
1013971324 AMELIA B WALLER, ARNP Individual Nurse Practitioner
1023302353 CVS/CAREMARK/MINUTE CLINIC Organization Nurse Practitioner (Family)
1033363643 DIANA A LYNCH, ARNP Individual Nurse Practitioner (Women's Health)
1043208598 JOEL ROBERT SAVITCH, ARNP Individual Nurse Practitioner (Adult Health)
1043379217 DONNA ROBBIN RUSH-NEWMAN, ARNP Individual Nurse Practitioner (Psych/Mental Health)
1063646693 MRS. MARIA CRISTINA SCHILLEN, MS ARNP-BC Individual Nurse Practitioner (Adult Health)


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.