Medcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0184663 Issued in CO

Legal business name

MEDCARE LLC

Practice address

45 Frontage Road
Fairplay, CO 80440

Phone

(719) 836-0500

Fax

(719) 836-0515

NPI assigned

Jan 14, 2014

Organization subpart

Yes

Parent organization

MEDCARE LLCAs reported in NPPES

Name

Ms. Joann M Kargul, FNP-BCNPI 1669498838

Title

President

Phone

(719) 836-0500

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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joann M Kargul, FNP-BC

  • Family Nurse Practitioner
  • Durango, CO
  • NPI 1669498838

  Family

  NPD (past) Authorized official
• Laura N Amedro, MSN FNP BC

  • Family Nurse Practitioner
  • Frisco, CO
  • NPI 1770831380

  Family

  NPD (past)

Part of

Medcare LLC

• Fairplay Family Practice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2014.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1093070344",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE LLC",
            "identifier": "1093070344",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOANN KARGUL",
            "identifier": "1669498838",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairplay Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fairplay, CO
• 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.