Promptserve Family Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004944B Issued in IN

Legal business name

PROMPTSERVE FAMILY MEDICINE LLC

Practice address

235 Morton Ave
Martinsville, IN 46151-2471

Phone

(765) 352-8082

Fax

(765) 352-8082

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Robert Walls

Title

Owner/Manager

Phone

(765) 352-8082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1629476890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MORTON AVE",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512471",
            "telephone_number": "765-352-8082",
            "fax_number": "765-352-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MORTON AVE",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512471",
            "telephone_number": "765-352-8082",
            "fax_number": "765-352-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPTSERVE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "765-352-8082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004944B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.