Primed Partners, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIMED PARTNERS, LLC

Practice address

5011 N Ocean Blvd
Suite 5
Ocean Ridge, FL 33435-7355

Phone

(877) 817-7886

Fax

(877) 817-7886

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard John Lucibella

Title

President

Phone

(877) 817-7886

Specialties & licenses 1

Addresses

Other names 1

• PriMed Other name

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1396926697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 N OCEAN BLVD",
            "address_2": "SUITE 5",
            "city": "OCEAN RIDGE",
            "state": "FL",
            "postal_code": "334357355",
            "telephone_number": "877-817-7886",
            "fax_number": "877-817-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 N OCEAN BLVD",
            "address_2": "SUITE 5",
            "city": "OCEAN RIDGE",
            "state": "FL",
            "postal_code": "334357355",
            "telephone_number": "877-817-7886",
            "fax_number": "877-817-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "LUCIBELLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-817-7886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PriMed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kay Home Care, LLC
• Courtney Kleiman, PT, DPT
• Maurita Joyce Lewis, DOULA
• Gilbert R Panzer, M.D.
• Playful Peds Therapy LLC
• Shayna Rayman, LMHC
• Jessica Pilar Reider-Goldman, ATR
• Mary K Settembrini, CRNA
• Karelyn Stahl, REGISTERED NURSE
• Walter Robert Trenschel, PHD

• Clinic/Center in Ocean Ridge, FL
• Providers in Ocean Ridge, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.