Individual provider Active NPI

Joienah Arlise Amisial, APRN

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1043081391
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028813 Issued in FL
Practice address
8755 NW 6TH St
Coral Springs, FL 33071-7178
Phone
(781) 910-1568
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028813 FL Primary

Addresses

Primary practice location

8755 NW 6TH St
Coral Springs, FL 33071-7178

Mailing address

8755 NW 6TH St
Coral Springs, FL 33071-7178
Phone (781) 910-1568

Other names 1

  • Joienah Arlise Cazeau Former name

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

State licenses

LicenseStateTypeSpecialty
11028813FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1043081391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 NW 6TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717178",
            "telephone_number": "781-910-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 NW 6TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717178",
            "telephone_number": "781-910-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISIAL",
        "first_name": "JOIENAH",
        "middle_name": "ARLISE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOIENAH",
            "last_name": "CAZEAU",
            "middle_name": "ARLISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.