Active NPI
Previnci, Inc.
- Health Educator
- Fort Wayne, IN
National Provider Identifier
1346957214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- PREVINCI, INC.
- Practice address
- 8310 Clinton Park Drive
Fort Wayne, IN 46825-3171 - Phone
- (260) 482-7400
- NPI assigned
- Nov 1, 2022
- 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
- Mr. Stephen Charles Presser
- Title
- President
- Phone
- (858) 405-4854
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
8310 Clinton Park Drive
Fort Wayne, IN 46825-3171
Mailing address
201 N. Franklin Street
Suite 1375
Tampa, FL 33602
Phone (858) 405-4854
National Provider Directory
National Provider DirectoryLocations
201 N Franklin St
Ste 1375
Tampa, FL 33602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1346957214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N. FRANKLIN STREET",
"address_2": "SUITE 1375",
"city": "TAMPA",
"state": "FL",
"postal_code": "33602",
"telephone_number": "858-405-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 CLINTON PARK DRIVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468253171",
"telephone_number": "260-482-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVINCI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "PRESSER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-405-4854",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.