Individual provider Active NPI

Joan P. Cardin, NP

  • Family Nurse Practitioner
  • Homer, LA
National Provider Identifier
1003854746
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP02203 Issued in LA
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

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1692247MedicaidLA

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

LicenseStateTypeSpecialty
AP02203LAMDEmergency Medicine Physician
04477RLAMDInternal Medicine Physician

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.