NPIMap

Organization Active NPI

Careteam, LLC

  • Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1124622949
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CARETEAM, LLC
Practice address
1356 River Road
Charlottesville, VA 22901-2290
Phone
(804) 405-8840
NPI assigned
Nov 23, 2020
Organization subpart
Yes
Parent organization
CARETEAM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Matthew Theodore
Title
Director of Operations
Phone
(843) 729-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1356 River Road
Charlottesville, VA 22901-2290

Mailing address

PO Box 1875
Mt Pleasant, SC 29465-1875
Phone (843) 469-1744

Other names 1

  • CareTeam Charlottesville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Careteam Health Onsite Clinic Citizens and Farmers Bank10 organizations share this tax ID, including this one
Part of
Careteam Health Onsite Clinic Citizens and Farmers Bank

Other organizations with this tax ID 9

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

Locations

1356 River Rd
Charlottesville, VA 22901
Phone (434) 980-6412

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19266/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17374/brand/19/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1124622949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1875",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294651875",
            "telephone_number": "843-469-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 RIVER ROAD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012290",
            "telephone_number": "804-405-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETEAM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARETEAM, LLC",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "843-729-0316"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareTeam Charlottesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.