Individual provider Active NPI

Josephine John

  • Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1063375012
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11038350 Issued in FL
Practice address
701 N Federal Hwy Ste 501
Hallandale Beach, FL 33009-2467
Phone
(954) 723-6868
NPI assigned
Dec 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11038350 FL Primary

Addresses

Primary practice location

701 N Federal Hwy Ste 501
Hallandale Beach, FL 33009-2467

Mailing address

1016 Bent Creek Dr
Fort Pierce, FL 34947-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318002629 FL Practitioner - Nurse Practitioner 1850875824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1917 NW 94TH Ave
Suite 204
Coral Springs, FL 33071-8907

701 N Federal Hwy 601
Hallandale Beach, FL 33009-2467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11038350FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Mar 18, 2026 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 18, 2026 Accepting new patients

Locations

701 N Federal Hwy
Ste 501
Hallandale Beach, FL 33009
Phone (954) 723-6868

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.

NPI Registry JSON

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

{
    "created_epoch": "1764979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1063375012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BENT CREEK DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY STE 501",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092467",
            "telephone_number": "954-723-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-06",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11038350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.