P.R.I.M.E. Health Centers - Chesterfield, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD, LLC

Practice address

253 Chesterfield Industrial Blvd
Chesterfield, MO 63005-1201

Phone

(636) 735-3577

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie L Adeams, PHARMD

Title

Practice Administrator

Phone

(636) 577-7812

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Lipsitz, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Chesterfield, MO
  • NPI 1306407903
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1043879471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.R.I.M.E. HEALTH CENTERS - CHESTERFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ADEAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "636-577-7812",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Czerina Ottes, NP
• Kathleen Heather Ottolini, D.C.
• Marisa Overton
• Ovitsky Vision Care of Missouri PC
• Susan M. Owens, MA, CCC-SLP SPEECH P
• PA Staffing
• Amy Lynn Pacanowski, P.T.
• Karen M Page, PT
• Pain and Rehabilitation Specialists of St. Louis
• Pain and Rehabilitation Specialists, LLC

• Multi-Specialty Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.