Prime Care 12 Priority Health Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIME CARE 12 PRIORITY HEALTH INC.

Practice address

702 Stafford Dr
Princeton, WV 24740-2406

Phone

(304) 425-0085

Fax

(304) 487-6993

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Shawn Vest, NPNPI 1497193007

Title

NP/Owner

Phone

(304) 425-0085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 3

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

• Shawn L. Vest, APRN, FNP-BC

  • Family Nurse Practitioner
  • Princeton, WV
  • NPI 1497193007

  WV

  Medicare reassignment Care Compare group NPD Authorized official
• Kristin R Youther, FNP-BC

  • Family Nurse Practitioner
  • Princeton, WV
  • NPI 1265797724

  WV

  Medicare reassignment Care Compare group NPD
• Florencio Pascual Neri Jr., MD

  • Family Medicine Physician
  • Princeton, WV
  • NPI 1134118524
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1306569868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402406",
            "telephone_number": "304-425-0085",
            "fax_number": "304-487-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402406",
            "telephone_number": "304-425-0085",
            "fax_number": "304-487-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE 12 PRIORITY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "304-425-0085",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Presutti
• Robin Presutti
• Arthi Vasudevan Price, PA-C
• Melinda A Price
• Tyanna Moesha Price
• Prime-Care 12, Inc
• Tomasina Antonette Primm
• Princeton Audiology Clinic, Inc.,
• Princeton Center LLC
• Princeton Community Homecare, LLC

• Primary Care Clinic/Center in Princeton, WV
• Providers in Princeton, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.