Active NPI
Primmed LLC
- Acute Care Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1619880648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- PRIMMED LLC
- Practice address
- 719 E Circle Rd
Phoenix, AZ 85020-4141 - Phone
- (314) 853-7298
- NPI assigned
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madison Prim, NP
- Title
- Nurse Practitioner
- Phone
- (314) 853-7298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
719 E Circle Rd
Phoenix, AZ 85020-4141
Mailing address
719 E Circle Rd
Phoenix, AZ 85020-4141
Phone (314) 853-7298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1619880648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 E CIRCLE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204141",
"telephone_number": "314-853-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 E CIRCLE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204141",
"telephone_number": "314-853-7298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "PRIM",
"authorized_official_first_name": "MADISON",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "314-853-7298",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.