Individual provider Active NPI

Ka-Meach Pringle

  • Homemaker
  • Philadelphia, PA
National Provider Identifier
1164993093
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
31023601 Issued in PA
Practice address
6103 W Thompson St Ste a
Philadelphia, PA 19151-4438
Phone
(215) 474-3000
Fax
(215) 476-0100
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 31023601 PA Primary

Addresses

Primary practice location

6103 W Thompson St Ste a
Philadelphia, PA 19151-4438

Mailing address

6103 W Thompson St Ste a
Philadelphia, PA 19151-4438
Phone (215) 474-3000

Other identifiers 1

IdentifierTypeStateIssuer
1031466470001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31023601PAMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1164993093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 W THOMPSON ST STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514438",
            "telephone_number": "215-474-3000",
            "fax_number": "215-476-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 W THOMPSON ST STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514438",
            "telephone_number": "215-474-3000",
            "fax_number": "215-476-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "KA-MEACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "31023601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031466470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.