Active NPI
Primelife, LLC
- Physician Assistant
- Ames, IA
National Provider Identifier
1306244934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Linn Spencer, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@primelifeiowa.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Ames, IA
- NPI 1932199080
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.