NPIMap

Organization Active NPI

Virtu30 Telehealth Services Corp

  • Cardiovascular Disease Physician
  • Naples, FL
National Provider Identifier
1104512979
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VIRTU30 TELEHEALTH SERVICES CORP
Practice address
1540 16TH St NE
Naples, FL 34120-3447
Phone
(877) 298-2076
NPI assigned
Apr 14, 2023
Organization subpart
Yes
Parent organization
VIRTU30 TELEHEALTH SERVICES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Erin Christine Carr, APRNNPI 1376053504
Title
Owner
Phone
(317) 697-9296

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1540 16TH St NE
Naples, FL 34120-3447

Mailing address

1540 16TH St NE
Naples, FL 34120-3447
Phone (239) 877-2982

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL carecloud Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Virtu30 Telehlth SVCS Corp2 organizations share this tax ID, including this one
Part of
Virtu30 Telehlth SVCS Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1104512979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 16TH ST NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203447",
            "telephone_number": "239-877-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 16TH ST NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203447",
            "telephone_number": "877-298-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTU30 TELEHEALTH SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTU30 TELEHEALTH SERVICES CORP",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-697-9296",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carecloud",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1540 16th St NE",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341203447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

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