Preventive Healthcare Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

RN263403 Issued in OH

Legal business name

PREVENTIVE HEALTHCARE SERVICES

Practice address

5118 Peach Canyon Dr
Suite 503
Canal Winchester, OH 43110-8421

Phone

(614) 937-8312

NPI assigned

Sep 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pauline Zarrieff Bryant, RN, BSN

Title

Executive Director

Phone

(614) 937-8312

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1285985796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 PEACH CANYON DR",
            "address_2": "SUITE 503",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108421",
            "telephone_number": "614-937-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 PEACH CANYON DR",
            "address_2": "SUITE 503",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108421",
            "telephone_number": "614-937-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "ZARRIEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-937-8312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "RN263403",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "RN263403",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "RN263403",
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OH",
            "license": "RN263403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Paul Pollard, DPT
• Ladan Pourmoghadam, DDS
• Milaan A Powell
• Regina Powell
• Brittney Powers
• Daisy Price
• Shannon Prince
• Sara Theresa Provens, RN
• Nancy Ruth Pulliams, RN
• Purposed to Reign LLC

• Student Health Clinic/Center in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Student Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.