Icare Virtual Urgent Care

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ICARE VIRTUAL URGENT CARE

Practice address

15649 Sequoia Grove Way
Caldwell, ID 83607-5147

Phone

(559) 299-4920

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Vitaliy N Nebyshinets, PA

Title

Owner/Provider

Phone

(559) 299-4920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1194577841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15649 SEQUOIA GROVE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075147",
            "telephone_number": "559-299-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15649 SEQUOIA GROVE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075147",
            "telephone_number": "559-299-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE VIRTUAL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "NEBYSHINETS",
        "authorized_official_first_name": "VITALIY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "559-299-4920",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Supports of Idaho, Inc.
• Human Supports of Idaho, Inc.
• Jee Hur, MD
• Ashley R Hust, BA
• Sausha Nichole Hyatt, LCSW
• Idaho Behavioral Health, Inc.
• Idaho Department of Health & Welfare
• Idaho Dept of Health & Welfare Amhcalpgreg3
• Idaho Dhwbh3 Caldamhclinic
• Idaho Diagnostic Sleep Lab, Inc.

• Physician Assistant in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.