Primal Health Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIMAL HEALTH INC

Practice address

4940 Windy Hill Dr Ste a
Raleigh, NC 27609-5278

Phone

(984) 308-1234

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Lonardo, BCDNM, TND, HMD

Title

President

Phone

(984) 308-1234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1790515039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 WINDY HILL DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095278",
            "telephone_number": "984-308-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 WINDY HILL DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095278",
            "telephone_number": "984-308-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "LONARDO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "984-308-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCDNM, TND, HMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah David Priest
• Kelly Haharin Priest, PHARMD
• Amy Christine Priestaf, PA-C
• Jennifer Priestap
• Lauren Annelise Prigge, MS, RD, LDN, NBC-HWC
• Primal Pediatrics Inc
• Primal Performance Inc
• Primal Vitality Inc
• Primary Source Group, PLLC
• Primasun Medical Group of California, P.C.

• Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.