Privacare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PRIVACARE LLC

Practice address

1526 Uplands Dr
Springfield, OH 45506-4025

Phone

(937) 631-4008

Fax

(937) 398-8902

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Amanda L Jones, NP

Title

Owner

Phone

(937) 631-4008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1366816472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 UPLANDS DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455064025",
            "telephone_number": "937-631-4008",
            "fax_number": "937-398-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 UPLANDS DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455064025",
            "telephone_number": "937-631-4008",
            "fax_number": "937-398-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-631-4008",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.