Organization Active NPI

Virtu30 Telehealth Services Corp

  • Primary Care Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1174147193
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VIRTU30 TELEHEALTH SERVICES CORP
Practice address
6436 S John Butler Rd
Columbus, IN 47201-9437
Phone
(877) 298-2079
NPI assigned
Jun 5, 2020
Organization subpart
No

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, FNPNPI 1376053504
Title
President
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

6436 S John Butler Rd
Columbus, IN 47201-9437

Mailing address

1540 16TH St NE
Naples, FL 34120-3447
Phone (317) 697-9296

Other practice location 1

1540 16th St NE
Naples, FL 34120-3447
Phone (317) 697-9296

Other practice location 2

11870 Sunrise Valley Dr
Reston, VA 20191-3304
Phone (877) 298-2076

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CARECLOUD Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

11870 Sunrise Valley Dr
Reston, VA 20191
Phone (703) 391-5002

11870 Sunrise Valley Dr
Ste 100
Reston, VA 20191
Phone (703) 915-1369

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": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1174147193",
    "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": "317-697-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 S JOHN BUTLER RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019437",
            "telephone_number": "877-298-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 16th St NE",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341203447",
            "country_code": "US",
            "telephone_number": "317-697-9296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11870 Sunrise Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201913304",
            "country_code": "US",
            "telephone_number": "877-298-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRTU30 TELEHEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "317-697-9296",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Columbus, IN

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.