Karen Prentice, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3233 Issued in AZ

Practice address

7757 W. Deer Valley Road
Suite 275
Peoria, AZ 85382

Phone

(623) 878-2800

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22523/brand/1/csg/1/fhir/r4

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.

• Classic Care Pediatrics LLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1689915324
  NPD (past)
• Great Destinations Pediatrics

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1235274051
  NPD (past)
• Pediatrics Healthcare Associates

  • Pediatrics Physician
  • Tempe, AZ
  • NPI 1306467154
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1760575559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE STE D101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086040",
            "telephone_number": "623-878-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 W. DEER VALLEY ROAD",
            "address_2": "SUITE 275",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-878-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "KAREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Mobile Medical Services PLLC
• Premere Rehab LLC
• Premier Pain & Wellness
• Premiere Medical Care PLLC
• Premium Comfort Care LLC
• Michelle Obillo Prestoza, MD
• Addie Price, PHARMD
• Jaeana Z Price, LPN
• Primova Health LLC
• Prince of Peace Assisting Living

• Pediatrics Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.