Premier Services LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER SERVICES LLC

Doing business as

Premier Pediatrics

Practice address

110 N Water St
Henderson, KY 42420-3142

Phone

(270) 212-1447

Fax

(270) 212-1388

NPI assigned

Dec 18, 2016

Last updated

Dec 18, 2016By 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

Jennifer L Liles, MDNPI 1952563751

Title

Ceo

Phone

(270) 212-1447

Specialties & licenses 1

Addresses

Other names 1

• Premier Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jennifer L Liles, MD

  • Pediatrics Physician
  • Henderson, KY
  • NPI 1952563751
  Authorized official Same address or phone

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1528502093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N WATER ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203142",
            "telephone_number": "270-212-1447",
            "fax_number": "270-212-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N WATER ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203142",
            "telephone_number": "270-212-1447",
            "fax_number": "270-212-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-212-1447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Powell
• Stacy Lynn Powell, LPCC
• Tracy A Powell, APRN, FNP
• Carrie Powers, OTR/L
• Pramod V. Prabhu, M.D.
• Elizabeth Priest
• Sandy Pritchett
• Teri Lee Privette, M.S., CCC/SLP
• Prorehab of Kentucky, LLC
• Prorehab, Inc

• Pediatrics Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.