Prospect Primary Care Clinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PROSPECT PRIMARY CARE CLINIC

Practice address

670 W Arapaho Rd Ste 4
Richardson, TX 75080-4213

Phone

(945) 333-5481

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lorena Eluri, AGPCNP-BCNPI 1841053089

Title

Managing Member

Phone

(945) 333-5481

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lorena Roshelle Eluri, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • New Braunfels, TX
  • NPI 1841053089
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1073378915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6564",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W ARAPAHO RD STE 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804213",
            "telephone_number": "945-333-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ELURI",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "945-333-5481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.