Organization Active NPI

Primelife, LLC

  • Physician Assistant
  • Ames, IA
National Provider Identifier
1306244934
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001669 Issued in IA
Legal business name
PRIMELIFE, LLC
Practice address
2610 Northridge Pkwy Ste 103
Ames, IA 50010-4088
Phone
(515) 292-4845
Fax
(515) 303-2291
NPI assigned
Dec 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Melanie Linn Spencer, PA-CNPI 1932199080
Title
Physician Assistant
Phone
(515) 292-4845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 001669 IA Primary

Addresses

Primary practice location

2610 Northridge Pkwy Ste 103
Ames, IA 50010-4088

Mailing address

2610 Northridge Pkwy Ste 103
Ames, IA 50010-4088
Phone (515) 292-4845

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@primelifeiowa.com Direct

National Provider Directory

National Provider Directory

Locations

2610 Northridge Pkwy
Ste 103
Ames, IA 50010
Phone (515) 292-4845

1415 Superior St
Webster City, IA 50595
Phone (515) 297-2837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1306244934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 NORTHRIDGE PKWY STE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104088",
            "telephone_number": "515-292-4845",
            "fax_number": "515-303-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 NORTHRIDGE PKWY STE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104088",
            "telephone_number": "515-292-4845",
            "fax_number": "515-303-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMELIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "515-292-4845",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@primelifeiowa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2610 Northridge Pkwy Ste 103",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500104088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.