Active NPI
Informed Care Solutions, Inc.
- Family Nurse Practitioner
- Lewisville, TX
National Provider Identifier
1790950087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0001154175
- Legal business name
- INFORMED CARE SOLUTIONS, INC.
- Practice address
- 2608 Queen Margaret Dr
Lewisville, TX 75056-5805 - Phone
- (877) 800-4882
- NPI assigned
- Apr 28, 2008
- 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
- Mary Consolato
- Title
- Operations Manager
- Phone
- (877) 800-4882
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 750872 | TX | |
| Family Nurse Practitioner | 363LF0000X | 582114 | TX | |
| Family Nurse Practitioner | 363LF0000X | 0001154175 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 774901 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 226308 | TX |
Addresses
Primary practice location
2608 Queen Margaret Dr
Lewisville, TX 75056-5805
Mailing address
801 Douglas Ave
Suite 104
Altamonte Springs, FL 32714-5206
Phone (877) 800-4882
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF4458 | Other | RR MEDICARE | |
| 0053NL | Other | TX | BLUE CROSS BLUE SHIELD |
| 180957601 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Informed Care Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Laredo, TX
- NPI 1558573485
-
- Nurse Practitioner
- Charlottesville, VA
- NPI 1710176912
-
- Endocrinology, Diabetes & Metabolism Physician
- Cranberry TWP, PA
- NPI 1619189552
-
- Pediatrics Physician
- Altamonte Springs, FL
- NPI 1811093644
Locations
801 Douglas Ave
Ste 104
Altamonte Springs, FL 32714
Phone (407) 865-7134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1790950087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 DOUGLAS AVE",
"address_2": "SUITE 104",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327145206",
"telephone_number": "877-800-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 QUEEN MARGARET DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750565805",
"telephone_number": "877-800-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFORMED CARE SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "CONSOLATO",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "877-800-4882"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "750872",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "582114",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "0001154175",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "774901",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "226308",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF4458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0053NL",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180957601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.