Premier Medical Clinics

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PREMIER MEDICAL CLINICS

Practice address

3405 Saint Claude Ave Ste C
New Orleans, LA 70117-6144

Phone

(504) 662-3763

Fax

(504) 662-3763

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Pearl M King

Title

Owner

Phone

(504) 662-3763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1003389628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SAINT CLAUDE AVE STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176144",
            "telephone_number": "504-662-3763",
            "fax_number": "504-662-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SAINT CLAUDE AVE STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701176144",
            "telephone_number": "504-662-3763",
            "fax_number": "504-662-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-662-3763"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Lane Transportation
• Premise Health of Louisanna, Professional Medical Corporation
• Premise Health of Louisiana Medical Professional Medical Corporation
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• Premium Care Medical Center, LLC
• Premium Healthcare Services, Inc

• Family Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.