Active NPI
Joanne Isabelle Decade, M.D.
- Pediatrics Physician
- Tavares, FL
National Provider Identifier
1023540358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME145555
- Practice address
- 212 E Main St
Tavares, FL 32778-3808 - Phone
- (079) 058-8274
- Fax
- (407) 905-8998
- NPI assigned
- Mar 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME145555 | FL | Primary |
Addresses
Primary practice location
212 E Main St
Tavares, FL 32778-3808
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106668500 | Medicaid | FL |
Other names 1
- Joanne Isabelle Alcin
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145555 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc | Past | Accepting new patients | |
| Community Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- joanne.decade@chcfl.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Winter Garden, FL
- NPI 1275602476
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1366531618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1023540358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "407-905-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E MAIN ST",
"city": "TAVARES",
"state": "FL",
"postal_code": "327783808",
"telephone_number": "079-058-8274",
"fax_number": "407-905-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECADE",
"first_name": "JOANNE",
"middle_name": "ISABELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME145555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106668500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "ALCIN",
"middle_name": "ISABELLE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.