P.R.I.M.E. Health Centers - Florissant LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

P.R.I.M.E. HEALTH CENTERS - FLORISSANT LLC

Practice address

18 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105

Phone

(314) 627-1411

Fax

(314) 627-1406

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie L AdamsNPI 1962194241

Title

Practice Administrator

Phone

(636) 577-7812

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Stephanie L Adams, PHARMD

  • Pharmacist
  • Weldon Spring, MO
  • NPI 1962194241
  Authorized official Same address or phone
• Abigail Lipsitz, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Chesterfield, MO
  • NPI 1306407903
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1427617851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-627-1411",
            "fax_number": "314-627-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-627-1411",
            "fax_number": "314-627-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.R.I.M.E. HEALTH CENTERS - FLORISSANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "636-577-7812"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Owens, OTR/L, MSOT
• Nicole Owens
• Kwabena Owusu Dekyi, MD
• Jane Owusu-Agyeman
• P.C.S. Home Health Inc.
• Mark Ainsworth Pabarue
• Adrienne Page
• Rose Marie Page
• Adrianne Paige
• Pain Management Medical Center, LLC

• Multi-Specialty Clinic/Center in Florissant, MO
• Providers in Florissant, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.