Active NPI
Prinsen Corp
- Clinic/Center
- La Vergne, TN
National Provider Identifier
1235788142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PRINSEN CORP
- Practice address
- 689 Hollandale Rd
La Vergne, TN 37086-2039 - Phone
- (978) 415-9332
- Fax
- (615) 280-2442
- NPI assigned
- Sep 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Kenneth Prinsen, DO, PHD
- Title
- Physican and Ceo
- Phone
- (585) 415-9332
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
689 Hollandale Rd
La Vergne, TN 37086-2039
Mailing address
689 Hollandale Rd
La Vergne, TN 37086-2039
Phone (978) 415-9332
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prinsen@msu.edu |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567555200000",
"number": "1235788142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 HOLLANDALE RD",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862039",
"telephone_number": "978-415-9332",
"fax_number": "615-280-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 HOLLANDALE RD",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862039",
"telephone_number": "978-415-9332",
"fax_number": "615-280-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINSEN CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A",
"authorized_official_last_name": "PRINSEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "PHYSICAN AND CEO",
"authorized_official_telephone_number": "585-415-9332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO, PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "prinsen@msu.edu",
"affiliation": "N",
"address_1": "689 Hollandale Rd",
"city": "LA Vergne",
"state": "TN",
"country_code": "US",
"postal_code": "370862039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Vergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.