Active NPI
Mountain Instant Care PLLC
- Family Medicine Physician
- Whitesburg, KY
National Provider Identifier
1578871000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78010170 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Technician
- Prestonsburg, KY
- NPI 1295439750
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
- Mountain Comprehensive Health Corporation
- Mountain Comprehensive Health Corporation
- Mountain Comprehensive Health Corporation
- Mountain Comprehensive Health Corporation
- Mountain Heart Center, PSC
- April Louise Mullins, RN
- Trevor Jacob Mullins, PHARMD
- David Lawrence Napier II, DO
- David A. Narramore, D.M.D.
- Jacob Nasser, D.P.M.
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.