NPIMap

Organization Active NPI

Privacare LLC

  • Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1366816472
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Amanda L Jones, NPNPI 1194100420
Title
Owner
Phone
(937) 631-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1526 Uplands Dr
Springfield, OH 45506-4025

Mailing address

1526 Uplands Dr
Springfield, OH 45506-4025
Phone (937) 631-4008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Springfield, OH

Sources for this page

  • 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.