Organization Active NPI

Mountain Instant Care PLLC

  • Family Medicine Physician
  • Whitesburg, KY
National Provider Identifier
1578871000
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN INSTANT CARE PLLC
Practice address
60 Jenkins Rd
Whitesburg, KY 41858-7601
Phone
(606) 633-7000
Fax
(606) 633-7000
NPI assigned
Sep 17, 2010
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Sarah Denise Adams
Title
Owner
Phone
(606) 633-7000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4075P KY
Family Nurse Practitioner 363LF0000X 4075P KY
Primary Care Nurse Practitioner 363LP2300X 4075P KY
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

60 Jenkins Rd
Whitesburg, KY 41858-7601

Mailing address

PO Box 635
Whitesburg, KY 41858-0635
Phone (606) 633-7000

Other identifiers 1

IdentifierTypeStateIssuer
78010170MedicaidKY

National Provider Directory

National Provider Directory

Locations

60 Jenkins Rd
Whitesburg, KY 41858
Phone (606) 633-7000

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1578871000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580635",
            "telephone_number": "606-633-7000",
            "fax_number": "606-633-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 JENKINS RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587601",
            "telephone_number": "606-633-7000",
            "fax_number": "606-633-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN INSTANT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-633-7000"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4075P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4075P",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4075P",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.