NPIMap

Organization Active NPI

Prestige Family Healthcare LLC

  • Primary Care Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1659845154
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRESTIGE FAMILY HEALTHCARE LLC
Practice address
214 Paca St
Cumberland, MD 21502-2844
Phone
(301) 697-5853
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Marcia Kessner, FNP
Title
Owner
Phone
(301) 697-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

214 Paca St
Cumberland, MD 21502-2844

Mailing address

PO Box 84
Springfield, WV 26763-0084
Phone (304) 822-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1659845154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "SPRINGFIELD",
            "state": "WV",
            "postal_code": "267630084",
            "telephone_number": "304-822-2500",
            "fax_number": "304-822-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PACA ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022844",
            "telephone_number": "301-697-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "KESSNER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-697-5853",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.