St Germain Family Care, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST GERMAIN FAMILY CARE, INC.

Practice address

80 Route 343
Millbrook, NY 12545-6163

Phone

(845) 677-3425

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Christa St GermainNPI 1770680118

Title

Owner

Phone

(845) 677-3425

Specialties & licenses 2

Addresses

Other names 1

• St Germain Family Care Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Christa Ann St. Germain, DC, MSN, FNP-BC

  • Family Nurse Practitioner
  • Millbrook, NY
  • NPI 1770680118
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1164003117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROUTE 343",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456163",
            "telephone_number": "184-590-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROUTE 343",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456163",
            "telephone_number": "845-677-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GERMAIN FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ST GERMAIN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-677-3425"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Germain Family Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St Germain Family Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia Shillingford, NP
• Ian Shultis, PT, ATC
• Warren William Skov, MSW LCSWR
• Victor Y Soltis, DDS
• Dawn Spagna
• Christa Ann St. Germain, DC, MSN, FNP-BC
• Robert A Strange, DC LAC
• John M. Supple, M.D
• Joseph Stephen Szost Jr., LCSWR
• William Thom

• Internal Medicine Physician in Millbrook, NY
• Providers in Millbrook, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.