NPIMap

Organization Active NPI

PRN NP Medical Services LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1003426305
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRN NP MEDICAL SERVICES LLC
Doing business as
PRN NP Medical Services LLC
Practice address
2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849
Phone
(623) 526-5835
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Vanquiece Smith, NP
Title
Head Nurse Practitioner
Phone
(850) 737-9214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849

Mailing address

2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849
Phone (623) 526-5835

Other names 1

  • PRN NP Medical Services LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1003426305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "623-526-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "623-526-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN NP MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VANQUIECE",
        "authorized_official_title_or_position": "HEAD NURSE PRACTITIONER",
        "authorized_official_telephone_number": "850-737-9214",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRN NP Medical Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.