Prestige Primary Providers

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NV20141368596 Issued in NV

Legal business name

PRESTIGE PRIMARY PROVIDERS

Practice address

2305 Ridge Field TRL
Reno, NV 89523-6804

Phone

(775) 762-3383

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Timothy Scott Osborne

Title

Owner

Phone

(775) 762-3383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1134532773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 RIDGE FIELD TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 RIDGE FIELD TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236804",
            "telephone_number": "775-762-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PRIMARY PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-762-3383"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "NV20141368596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presley Health LLC
• Daniel Presley, PT, DPT
• Rebecca Press
• Verna Lee Presser, RN, CDE
• Jhoanna Presswood, LMSW, CSW-INTERN
• Patricia Anne Prestigiacomo, LCSW
• Debora Preston
• Digby Maxwell Preston, MD
• Krystal Preston
• Peggy D. Preston, DDS

• Primary Care Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.