Organization Active NPI

Neighborcare, PLLC

Doing business as Country Nurse Practitioner

  • Urgent Care Clinic/Center
  • Roanoke, VA
National Provider Identifier
1679210181
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NEIGHBORCARE, PLLC
Doing business as
Country Nurse Practitioner
Practice address
3133 Yardley Dr NW
Roanoke, VA 24012-2309
Phone
(540) 330-4455
NPI assigned
May 16, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Mr. Jason Patrick Itson Sr., MSN, AGACNP-BCNPI 1578158465
Title
Nurse Practitoner
Phone
(540) 330-4455

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3133 Yardley Dr NW
Roanoke, VA 24012-2309

Mailing address

3133 Yardley Dr NW
Roanoke, VA 24012-2309
Phone (540) 330-4455

Other names 1

  • COUNTRY NURSE PRACTITIONER Doing business as

National Provider Directory

National Provider Directory

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1679210181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 YARDLEY DR NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122309",
            "telephone_number": "540-330-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 YARDLEY DR NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122309",
            "telephone_number": "540-330-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ITSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "NURSE PRACTITONER",
        "authorized_official_telephone_number": "540-330-4455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MSN, AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRY NURSE PRACTITIONER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COUNTRY NURSE PRACTITIONER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.