Organization Active NPI

Primecare LLC

  • Primary Care Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1740657063
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AC001256 Issued in MD
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

Updated by the provider on Aug 24, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.