Supportive Immediate Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SUPPORTIVE IMMEDIATE CARE

Practice address

10 Elm St Ste 1
Cornwall, NY 12518-1486

Phone

(846) 276-0830

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Gilly Arthurs, DNP, FNP-BC

Title

Owner

Phone

(846) 276-0830

Specialties & licenses 1

Addresses

Other names 1

• Supportive Immediate Care Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gilly Sandradine Arthurs Moulton, DNP, FNP-BC

  • Family Nurse Practitioner
  • Leesburg, FL
  • NPI 1275603441
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1669067435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELM ST STE 1",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181486",
            "telephone_number": "846-276-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST STE 1",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181486",
            "telephone_number": "846-276-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ARTHURS",
        "authorized_official_first_name": "GILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "846-276-0830",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Immediate Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nurse Practitioner in Cornwall, NY
• Providers in Cornwall, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.