Organization Active NPI

Willcare

  • Home Health Registered Nurse
  • Kingston, NY
National Provider Identifier
1972961431
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
565283-1 Issued in NY
Legal business name
WILLCARE
Practice address
803 Grant Avenue
Kingston, NY 12249
Phone
(845) 331-5064
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Ms. Karen Elizabeth Craig
Title
Registered Nurse
Phone
(845) 331-5064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 565283-1 NY Primary

Addresses

Primary practice location

803 Grant Avenue
Kingston, NY 12249

Mailing address

803 Grant Avenue
Kingson, NY 12249
Phone (845) 331-5064

National Provider Directory

National Provider Directory

Locations

803 Grant Ave
Albany, NY 12249
Phone (845) 331-5064

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1972961431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 GRANT AVENUE",
            "city": "KINGSON",
            "state": "NY",
            "postal_code": "12249",
            "telephone_number": "845-331-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 GRANT AVENUE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12249",
            "telephone_number": "845-331-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "845-331-5064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "565283-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.