Privilege, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIVILEGE, LLC

Practice address

104 Gallery Cir
Ste 126
San Antonio, TX 78258-3329

Phone

(210) 494-2820

Fax

(210) 494-2002

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jonas Crafts

Title

Owner

Phone

(210) 494-2820

Specialties & licenses 1

Addresses

Other names 1

• Blue Diamond Med Spa Doing business as

Locations

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1922483205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR",
            "address_2": "STE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583329",
            "telephone_number": "210-494-2820",
            "fax_number": "210-494-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR",
            "address_2": "STE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583329",
            "telephone_number": "210-494-2820",
            "fax_number": "210-494-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVILEGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CRAFTS",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-494-2820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Diamond Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe Ann Pritchard, COTA
• Robin R Pritz, LPC
• Private Home Hospice Partners, Inc.
• Privia Medical Group Gulf Coast PLLC
• Privia Medical Group Gulf Coast PLLC
• PRN Medstaff Homecare Inc
• PRN Medstaff LLC
• Pro First Assisting
• Pro Re Nata Home Healthcare, LLC
• Pro Sports Rehab LLC

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.