Prima Elements, LLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

Legal business name

PRIMA ELEMENTS, LLC

Practice address

124 Anderson St
Fayetteville, NC 28301-5014

Phone

(910) 483-8406

NPI assigned

Jul 4, 2019

Organization subpart

No

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

Authorized official

Name

Adrian Ramon Burgos

Title

Co-Owner/Manager

Phone

(910) 483-8406

Specialties & licenses 2

Addresses

Other names 1

• prima elements holistic wellness center Doing business as

Locations

Practitioners 1

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

• Hilda Diane Burgos

  • Private Vehicle
  • Fayetteville, NC
  • NPI 1801715180
  NPD (past)

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1114589645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ANDERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015014",
            "telephone_number": "910-483-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ANDERSON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015014",
            "telephone_number": "910-483-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA ELEMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "910-483-8406"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prima elements holistic wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariah Pride
• Robin Days Pride, LCMHC
• Rebecca Robinson Pridgeon, MSN
• Juliet Prieto
• Kristen Prijs, DO
• Prima Transport and Delivery LLC
• Primary Health Choice, Inc.
• Primary Health Choice, Inc.
• Primary Health Choice, Inc.
• Prime Pediatrics Inc

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.