PREMIUM DIRECT MEDICAL
NPI 1215385463
Nurse Practitioner - Family in Waxhaw, NC
About Premium Direct Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM DIRECT MEDICAL (NPI 1215385463) is a healthcare organization registered as a family in Waxhaw, North Carolina and active in the NPI registry since May 2016. The organization lists Shawanda Lester Spencer, Managing Director/head Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prosper At Home Health Care Services LLC's NPI number?
The NPI number for Prosper At Home Health Care Services LLC is 1215385463. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Premium Direct Medical.
Where is Prosper At Home Health Care Services LLC located?
Prosper At Home Health Care Services LLC is located at 7319 Yellowhorn Trl, Waxhaw, NC 28173. The listed phone number is (704) 907-0537.
What is Prosper At Home Health Care Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Prosper At Home Health Care Services LLC was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premium Direct Medical · NPI 1215385463
Family organization in Waxhaw, North Carolina. Organization record, active in the CMS NPPES registry since May 27, 2016.
## Identity
- **NPI:** 1215385463 (Entity type: Organization)
- **Enumerated:** May 27, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Prosper At Home Health Care Services Llc
- **Organization subpart:** No
- **Authorized official:** Shawanda Spencer, MANAGING DIRECTOR/HEAD NP
## Practice location
- **Address:** 7319 YELLOWHORN TRL, Waxhaw, NC 28173-7465
- **Phone:** (704) 907-0537
## Record status
- **NPPES last updated:** May 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1215385463) · Data from the CMS NPPES public registry.