Omotayo Andrea Pryor, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1114242 Issued in AL

Practice address

252 Whitestone Dr NE
Huntsville, AL 35810-1079

Phone

(256) 348-2107

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Omotayo Andrea Reese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: omotayo.pryor.1@8085.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Prestige Aesthetic and Wellness

  • Health Service Clinic/Center
  • Meridianville, AL
  • NPI 1982216669
  NPD (past) Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1346776341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WHITESTONE DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358101079",
            "telephone_number": "256-348-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WHITESTONE DR NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358101079",
            "telephone_number": "256-348-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Autumn Springs Ct Ste 19",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672849",
            "country_code": "US",
            "telephone_number": "615-380-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "OMOTAYO",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1114242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMOTAYO",
            "last_name": "REESE",
            "middle_name": "ANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prosthodontics Dental Laboratory, Inc.
• Micah Pruett, RN
• Jeffory Jerome Prylinski, D.O.
• Nicholas Dain Prylinski, M.D.
• Jothanie Lynn Pryor
• Psyche'S Clay LLC
• Psychiatric Services LLC
• Psychiatric Urgent Care of Huntsville LLC
• Psychological & Counseling Associates
• Psychotherapy/ Clinical Services LLC

• Women's Health Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Women's Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.