Active NPIIndividual provider

Shanise M Perez, CNP

Nurse Practitioner, Psych/Mental Health in Southbridge, Massachusetts

NPI Number1639652878
Practice location
29 Pine St, Southbridge, MA 01550-1823
Fax
—
Last updated
February 25, 2026

Shanise Margot Perez is a Nurse Practitioner, Psych/Mental Health based in Southbridge, MA. Shanise Margot Perez practices in Southbridge, MA and has the professional credentials of CNP. The NPI Number for Shanise Margot Perez is 1639652878 and holds a License No. RN2293487 (MA). The current practice location address for Shanise Margot Perez is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-765-9167.

Provider Profile Details

NPI Number
1639652878
Provider Name
Shanise Margot Perez
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA 01550-1823
Phone Number
508-765-9167
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2018
Last Update Date
February 25, 2026
Certification Date
February 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
Zip
01550-1823
Phone Number
508-765-9167
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
City
Southbridge
State
MA
Zip
01550-1823
Phone Number
508-765-9167

License Information

License Number
RN2293487
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shanise M Perez, CNP?

The NPI number of Shanise M Perez, CNP is 1639652878. It was assigned on September 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Shanise M Perez, CNP?

Shanise M Perez, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2293487.

Where does Shanise M Perez, CNP practice?

The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-765-9167 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639652878 directly on the NPPES registry website.

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