Active NPI
Janel Larie Primus, PA-C
- Surgical Physician Assistant
- Plano, TX
National Provider Identifier
1265747430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 6160 Windhaven Pkwy
Suite 200
Plano, TX 75093-8099 - Phone
- (972) 378-6908
- Fax
- (972) 378-6586
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
6160 Windhaven Pkwy
Suite 200
Plano, TX 75093-8099
Mailing address
6160 Windhaven Pkwy
Suite 200
Plano, TX 75093
Phone (972) 473-2700
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": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1265747430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 WINDHAVEN PKWY",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "972-473-2700",
"fax_number": "972-473-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 WINDHAVEN PKWY",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938099",
"telephone_number": "972-378-6908",
"fax_number": "972-378-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMUS",
"first_name": "JANEL",
"middle_name": "LARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.