Primecare Venice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIMECARE VENICE LLC

Practice address

1531 Tamiami TRL S Ste 703
Venice, FL 34285-5569

Phone

(941) 676-3440

Fax

(941) 303-5552

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Katie A Spada

Title

Aprn

Phone

(941) 676-3440

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21327/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1720613862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 TEMPEST HARBOR LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923821",
            "telephone_number": "401-480-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 TAMIAMI TRL S STE 703",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855569",
            "telephone_number": "941-676-3440",
            "fax_number": "941-303-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE VENICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "SPADA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "941-676-3440"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Priddee
• Primary Care of Venice Inc
• Primary Care of Venice LLC
• Primary Urgent Care PL
• Prime Care One, LLC
• Linda P Princiotta, P.T.
• Priority Coastal Care LLC
• Professional Anesthesia Associates of Venice
• Professional Case Management of Southwest FL
• Progressive Recovery

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.