Organization Active NPI

Prinsen Corp

  • Clinic/Center
  • La Vergne, TN
National Provider Identifier
1235788142
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Sep 4, 2019

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address prinsen@msu.edu

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.