Teisha Marie Prim, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

21-9105 Issued in WV

Practice address

206 Spruce St
Morgantown, WV 26505-7539

Phone

(304) 413-4300

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morgantown Sober Living, Inc.

  • Substance Abuse Rehabilitation Facility
  • Morgantown, WV
  • NPI 1861152076
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1669190815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SPRUCE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057539",
            "telephone_number": "304-413-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SPRUCE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057539",
            "telephone_number": "304-413-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM",
        "first_name": "TEISHA",
        "middle_name": "MARIE",
        "credential": "PRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "21-9105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia S Price, D.D.S.
• Amy Pride-McNutt
• Jamberlyn Pride
• Samuella Pride
• Dritan Prifti, M.D.
• Priority Care Medical Group, Inc
• Ion Prisneac, MD
• Allison Brooke Pritt
• Barbara Pritt, PHARM. D.
• Lea Pritt

• All providers in Morgantown, WV
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.