Active NPI
Willcare
- Home Health Registered Nurse
- Kingston, NY
National Provider Identifier
1972961431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 565283-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 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 DirectoryLocations
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.