Active NPI
Joan P. Cardin, NP
- Family Nurse Practitioner
- Homer, LA
National Provider Identifier
1003854746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP02203
- Practice address
- 912 W Main St
Homer, LA 71040-3328 - Phone
- (318) 927-3571
- Fax
- (318) 927-2677
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | AP02203 | LA | |
| Family Nurse Practitioner | 363LF0000X | AP02203 | LA | Primary |
Addresses
Primary practice location
912 W Main St
Homer, LA 71040-3328
Mailing address
912 W Main St
Homer, LA 71040-3328
Phone (318) 927-3571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1692247 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP02203 | LA | MD | Emergency Medicine Physician |
| 04477R | LA | MD | Internal Medicine Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/3681/brand/10/csg/202/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1003854746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 W MAIN ST",
"city": "HOMER",
"state": "LA",
"postal_code": "710403328",
"telephone_number": "318-927-3571",
"fax_number": "318-927-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W MAIN ST",
"city": "HOMER",
"state": "LA",
"postal_code": "710403328",
"telephone_number": "318-927-3571",
"fax_number": "318-927-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDIN",
"first_name": "JOAN",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "AP02203",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP02203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1692247",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homer, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.