Active NPI
Neighborcare, PLLC
Doing business as Country Nurse Practitioner
- Urgent Care Clinic/Center
- Roanoke, VA
National Provider Identifier
1679210181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2022
- 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
- Mr. Jason Patrick Itson Sr., MSN, AGACNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Acute Care Nurse Practitioner
- Roanoke, VA
- NPI 1578158465
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.