Medcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0184663 Issued in CO

Legal business name

MEDCARE LLC

Doing business as

Fairplay Family Practice

Practice address

45 Frontage Road
Fairplay, CO 80440

Phone

(719) 836-0500

Fax

(719) 836-0515

NPI assigned

Jan 14, 2014

Last updated

Jan 16, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDCARE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Joann M Kargul, FNP-BCNPI 1669498838

Title

President

Phone

(719) 836-0500

Specialties & licenses 1

Addresses

Other names 1

• Fairplay Family Practice Doing business as

Part of

Medcare LLC

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.

• Medcare, LLC

  • Family Nurse Practitioner
  • Breckenridge, CO
  • NPI 1093070344
  NPPES parent name

Practitioners 2

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.

• Joann M Kargul, FNP-BC

  • Family Nurse Practitioner
  • Durango, CO
  • NPI 1669498838
  NPD (past) Authorized official
• Laura N Amedro, MSN FNP BC

  • Family Nurse Practitioner
  • Frisco, CO
  • NPI 1770831380
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1154743979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7399",
            "address_2": "PMB#453",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804247399",
            "telephone_number": "719-836-0500",
            "fax_number": "719-836-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRONTAGE ROAD",
            "city": "FAIRPLAY",
            "state": "CO",
            "postal_code": "80440",
            "telephone_number": "719-836-0500",
            "fax_number": "719-836-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCARE LLC",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "KARGUL",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-836-0500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0184663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairplay Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laj, Inc. (Snowy Peak Community Services)
• Edward Jerome Littman, DMD
• Amy Lynn Majikas, LMT
• Annalise Emma Mann, DO
• Betty Elizabeth Ballman McLain, RN
• Kalie Midcap
• Paragon Behavioral Health Connections
• Paragon Behavioral Health Connections
• Park County Dept of Human Services
• Park County School District Re2

• Family Nurse Practitioner in Fairplay, CO
• Providers in Fairplay, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.