Primary Care Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIMARY CARE MEDICINE LLC

Practice address

9001 Digges Rd Ste 104
Manassas, VA 20110-4414

Phone

(703) 594-1553

NPI assigned

May 4, 2024

Organization subpart

No

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

Authorized official

Name

Steven Lucynski, FNP-BC

Title

Owner/Nurse Practitioner

Phone

(703) 594-1553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1548017734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-594-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-594-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "LUCYNSKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-594-1553",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.