Adrienne L. Prentiss, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADRIENNE L. PRENTISS, MD PA

Doing business as

Prentiss Family Medicine

Practice address

1704 Tennison Pkwy Ste 100
Colleyville, TX 76034-6297

Phone

(817) 251-1225

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne L Prentiss, MDNPI 1083610133

Title

Owner/Physician

Phone

(817) 251-1225

Specialties & licenses 1

Addresses

Other names 1

• PRENTISS FAMILY MEDICINE 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, and the practitioner matching its NPPES authorized official.

• Adrienne L Prentiss, M.D.

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1083610133
  Authorized official Same address or phone

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1164041521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 TENNISON PKWY STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346297",
            "telephone_number": "817-251-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 TENNISON PKWY STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346297",
            "telephone_number": "817-251-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE L. PRENTISS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-251-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRENTISS FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.