Organization Active NPI

Prime Health Medical Offices LLC

  • Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1932629680
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.019916 Issued in OH
Legal business name
PRIME HEALTH MEDICAL OFFICES LLC
Practice address
4343 Brighton LN
West Chester, OH 45069-9227
Phone
(513) 510-0443
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Maninder Kaur
Title
Aprn. CNP
Phone
(513) 510-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN.CNP.019916 OH Primary

Addresses

Primary practice location

4343 Brighton LN
West Chester, OH 45069-9227

Mailing address

4343 Brighton LN
West Chester, OH 45069-9227
Phone (513) 510-0443

Other identifiers 2

IdentifierTypeStateIssuer
APRN.CNP.019916OtherOHCERTIFICATE OF AUTHORITY
1659798031OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

8686 Winton Rd
Cincinnati, OH 45231
Phone (513) 510-0443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1932629680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 BRIGHTON LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699227",
            "telephone_number": "513-510-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 BRIGHTON LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699227",
            "telephone_number": "513-510-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH MEDICAL OFFICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_title_or_position": "APRN. CNP",
        "authorized_official_telephone_number": "513-510-0443"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF AUTHORITY",
            "identifier": "APRN.CNP.019916",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659798031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.