Active NPI
James Price
- Student in an Organized Health Care Education/Training Program
- Fairview Heights, IL
National Provider Identifier
1174306641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8 Executive Dr
Fairview Heights, IL 62208-1345 - Phone
- (618) 688-4731
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
8 Executive Dr
Fairview Heights, IL 62208-1345
Mailing address
4394 W Pine Blvd Apt 105
Saint Louis, MO 63108-2220
Phone (859) 298-4132
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1174306641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4394 W PINE BLVD APT 105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082220",
"telephone_number": "859-298-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 EXECUTIVE DR",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081345",
"telephone_number": "618-688-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview Heights, IL
- Pontiac-WM Holliday SD 105
- Kristine Potter, SLP
- Emily K Powers, PHARM. D.
- Prairie State Anesthesia Associates, PLLC
- Preferred Behavioral Health Mso, Inc. (Preferred Behavioral Health)
- Amberlee Nicole Pritchard, DC
- Promed Preferred Il 2 PLLC (Preferred Behavioral Health Group)
- Prorehab, PC (Athletico Physical Therapy)
- Prosthetic and Orthotic Care LLC (P & O Care)
- Elizabeth A Randolph, P.A.-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.