Adrienne L. Prentiss, MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

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 2, 2020

Last updated

Apr 2, 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 Prentiss, MDNPI 1083610133

Title

Owner/Physician

Phone

(817) 939-8089

Specialties & licenses 1

Addresses

Other identifiers 2

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
  NPD (past) Authorized official

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1205465200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CROWN CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485464",
            "telephone_number": "817-939-8089"
        },
        {
            "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": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-939-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060HP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H03548",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRENTISS FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Adame, LPC
• Leah Teaunna Adams, R.N.
• Adel a Zakhary MD PA
• Enitan Adetunji Adesanoye, M.D.
• Adrienne L. Prentiss, MD PA (Prentiss Family Medicine)
• Advanced Dental Imaging Center
• Advanced Eyelid Surgery Center & Laser Center
• Advantage Geriatric Care PA
• Advocare Family Services, LLC
• Affinity Smiles Dental, PLLC

• Primary Care Clinic/Center in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.