Organization Active NPI

Convenient Virtucare

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1306335112
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9371233 Issued in FL
Legal business name
CONVENIENT VIRTUCARE
Practice address
4340 Antietam Creek TRL
Leesburg, FL 34748-1200
Phone
(240) 299-5308
NPI assigned
May 7, 2018
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
D-Ann Weller Ross, ARNP
Title
President
Phone
(240) 299-5308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP9371233 FL Primary

Addresses

Primary practice location

4340 Antietam Creek TRL
Leesburg, FL 34748-1200

Mailing address

4340 Antietam Creek TRL
Leesburg, FL 34748-1200
Phone (240) 299-5308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1306335112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 ANTIETAM CREEK TRL",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347481200",
            "telephone_number": "240-299-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 ANTIETAM CREEK TRL",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347481200",
            "telephone_number": "240-299-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT VIRTUCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "D-ANN",
        "authorized_official_middle_name": "WELLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-299-5308",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9371233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.