Active NPI
Primecare LLC
- Primary Care Clinic/Center
- Silver Spring, MD
National Provider Identifier
1740657063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- AC001256
- Legal business name
- PRIMECARE LLC
- Practice address
- 13842 Outlet Dr
Suite A200
Silver Spring, MD 20904-4931 - Phone
- (469) 682-9762
- NPI assigned
- Aug 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Assiatu Barrie, CRNP/FNP-C
- Title
- Owner
- Phone
- (469) 774-1529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | AC001256 | MD | Primary |
Addresses
Primary practice location
13842 Outlet Dr
Suite A200
Silver Spring, MD 20904-4931
Mailing address
13842 Outlet Dr
Suite A200
Silver Spring, MD 20904-4931
Phone (469) 682-9762
National Provider Directory
National Provider DirectoryLocations
13842 Outlet Dr
Ste A200
Silver Spring, MD 20904
Phone (469) 682-9762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440374400000",
"number": "1740657063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13842 OUTLET DR",
"address_2": "SUITE A200",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044931",
"telephone_number": "469-682-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13842 OUTLET DR",
"address_2": "SUITE A200",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044931",
"telephone_number": "469-682-9762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A",
"authorized_official_last_name": "BARRIE",
"authorized_official_first_name": "ASSIATU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-774-1529",
"authorized_official_credential": "CRNP/FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MD",
"license": "AC001256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.