Organization Active NPI

Precise Immediate Care

  • Clinic/Center
  • Bowie, MD
National Provider Identifier
1699498907
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRECISE IMMEDIATE CARE
Practice address
1003 Kings Tree Dr
Bowie, MD 20721-1918
Phone
(857) 999-6122
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Suzie Fatou Jackatey, NPNPI 1700351442
Title
Owner/Nurse Practitioner
Phone
(857) 999-6122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1003 Kings Tree Dr
Bowie, MD 20721-1918

Mailing address

1003 Kings Tree Dr
Bowie, MD 20721-1918
Phone (202) 460-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213001928 IL Part B Supplier - Clinic/Group Practice 0749657195 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

16027 Brookhurst St
Ste I
Fountain Valley, CA 92708
Phone (714) 426-9576

16027 Brookhurst St
Unit 980
Fountain Valley, CA 92708

600 N Broad St
Ste 53882
Middletown, DE 19709

14502 Greenview Dr
Unit 1024
Laurel, MD 20708

2136 Ford Pkwy
#8252
Saint Paul, MN 55116

2136 Ford Pkwy
Ste 8252
Saint Paul, MN 55116

Practitioners & affiliated clinicians

Practitioners 1

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": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1699498907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 KINGS TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211918",
            "telephone_number": "202-460-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 KINGS TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211918",
            "telephone_number": "857-999-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "JACKATEY",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_middle_name": "FATOU",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "857-999-6122",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.