NPIMap

Organization Active NPI

I-Care Virtual Clinic LLC

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1386306983
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
I-CARE VIRTUAL CLINIC LLC
Practice address
690 Wilson Blvd S
Naples, FL 34117-9362
Phone
(239) 682-4874
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Katiuska Moreno, ARNPNPI 1073983987
Title
Aprn
Phone
(239) 682-4874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

690 Wilson Blvd S
Naples, FL 34117-9362

Mailing address

690 Wilson Blvd S
Naples, FL 34117-9362
Phone (239) 682-4874

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25174/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1386306983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 WILSON BLVD S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179362",
            "telephone_number": "239-682-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 WILSON BLVD S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179362",
            "telephone_number": "239-682-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-CARE VIRTUAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "KATIUSKA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "239-682-4874",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.