NPIMap

Organization Active NPI

A Prestige Aesthetic and Wellness

  • Health Service Clinic/Center
  • Meridianville, AL
National Provider Identifier
1982216669
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
A PRESTIGE AESTHETIC AND WELLNESS
Practice address
374 Spencer Lakes Dr
Meridianville, AL 35759-1532
Phone
(256) 427-4739
NPI assigned
Aug 23, 2020
Last updated
Dec 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Authorized official

Name
Omotayo Andrea Pryor, CRNPNPI 1346776341
Title
CRNP
Phone
(256) 348-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

374 Spencer Lakes Dr
Meridianville, AL 35759-1532

Mailing address

504 Autumn Springs CT Ste 19
Franklin, TN 37067-2849
Phone (256) 348-2107

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apryor@completewomenshealthal.com Direct

National Provider Directory

National Provider Directory

Locations

504 Autumn Springs Ct
Ste 19
Franklin, TN 37067
Phone (615) 380-1818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1982216669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 AUTUMN SPRINGS CT STE 19",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672849",
            "telephone_number": "256-348-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 SPENCER LAKES DR",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591532",
            "telephone_number": "256-427-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PRESTIGE AESTHETIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "OMOTAYO",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "256-348-2107",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apryor@completewomenshealthal.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "374 Spencer Lakes Dr",
            "city": "Meridianville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357591532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.