Virtucare Connect LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIRTUCARE CONNECT LLC

Practice address

4934 Viceroy St Unit 101
Cape Coral, FL 33904-9052

Phone

(419) 779-7692

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly CornishNPI 1386880607

Title

Admin

Phone

(419) 779-7692

Specialties & licenses 4

Addresses

Practitioners 1

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

• Kimberly Ann Cornish, LPN

  • Licensed Practical Nurse
  • Delta, OH
  • NPI 1386880607
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1265295315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 VICEROY ST UNIT 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049052",
            "telephone_number": "419-779-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 VICEROY ST UNIT 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049052",
            "telephone_number": "419-779-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUCARE CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "419-779-7692"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres G. Villacreses, APRN
• Alessandra A Villavicencio Cruz
• Keilin Vinagera Sanchez, BCBA
• Javier Virella Gil-Coya
• Mason Virsack
• Viscaya Dental, LLC
• Vision ABA Services LLC
• Visionworks, Inc. (Visionworks)
• Vitalidad of Cape Coral LLC
• Vitality Kids Counseling Group

• Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.