NPIMap

Organization Active NPI

Informed Care Solution, Inc

Doing business as Informed Care Inc

  • Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1710176912
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0017001266 Issued in VA
Legal business name
INFORMED CARE SOLUTION, INC
Doing business as
Informed Care Inc
Practice address
325 Four Leaf LN
Suite 11
Charlottesville, VA 22903-9203
Phone
(772) 344-3702
Fax
(772) 344-3701
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Sandi Glaser
Title
Practice Manager
Phone
(772) 344-3702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 0017001266 VA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X NP0024165998 VA

Addresses

Primary practice location

325 Four Leaf LN
Suite 11
Charlottesville, VA 22903-9203

Mailing address

PO Box 6250
Charlottesville, VA 22906-6250
Phone (772) 344-3702

Other names 1

  • INFORMED CARE INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Informed Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

325 Four Leaf Ln
Ste 11
Charlottesville, VA 22903
Phone (772) 344-3702

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1710176912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229066250",
            "telephone_number": "772-344-3702",
            "fax_number": "772-344-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN",
            "address_2": "SUITE 11",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "772-344-3702",
            "fax_number": "772-344-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED CARE SOLUTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-344-3702"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017001266",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "NP0024165998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFORMED CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.