NPIMap

Organization Active NPI

Team Nurse, Inc.

  • Personal Care Attendant
  • St Paul, VA
National Provider Identifier
1376017756
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TEAM NURSE, INC.
Practice address
16610 Russell Street
Suite 5
St Paul, VA 24283
Phone
(434) 575-5200
Fax
(434) 575-5054
NPI assigned
Jan 18, 2019
Organization subpart
Yes
Parent organization
TEAM NURSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Christy Glynn
Title
VP of Operations
Phone
(434) 575-5200

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC2100X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

16610 Russell Street
Suite 5
St Paul, VA 24283

Mailing address

16610 Russell Street
Suite 5
St Paul, VA 24283
Phone (434) 575-5200

Other identifiers 1

IdentifierTypeStateIssuer
123456789OtherVALICENSURE OLC

National Provider Directory

National Provider Directory
Tax ID family
Privacare19 organizations share this tax ID, including this one
Part of
Privacare

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1376017756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 RUSSELL STREET",
            "address_2": "SUITE 5",
            "city": "ST PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "434-575-5200",
            "fax_number": "434-575-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 RUSSELL STREET",
            "address_2": "SUITE 5",
            "city": "ST PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "434-575-5200",
            "fax_number": "434-575-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM NURSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM NURSE, INC.",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "434-575-5200"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE OLC",
            "identifier": "123456789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.