The P3 Pursuit LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE P3 PURSUIT LLC

Practice address

110 Painters Mill Rd Ste 213
Owings Mills, MD 21117-5543

Phone

(443) 898-6128

Fax

(443) 898-6199

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Nikki McKoyNPI 1538967005

Title

Owner

Phone

(612) 889-5899

Specialties & licenses 3

Addresses

Tax ID family

The P3 Pursuit LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The P3 Pursuit LLC

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1285103382
  NPD tax ID

Locations

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.

• Nikki McKoy, LMSW

  • Social Worker
  • Windsor Mill, MD
  • NPI 1538967005
  NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1649747528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 213",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175543",
            "telephone_number": "443-898-6128",
            "fax_number": "443-898-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 213",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175543",
            "telephone_number": "443-898-6128",
            "fax_number": "443-898-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE P3 PURSUIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-889-5899"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The P3 Pursuit LLC
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• The Retina Group of Washington, PLLC
• The Shafer Center for Early Intervention
• The Thusong

• Clinical Social Worker in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.