Joan M Farmer, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP1482452 Issued in FL

Practice address

521 W State Road 434
Suite 101
Longwood, FL 32750-4984

Phone

(407) 830-5437

Fax

(407) 830-4907

NPI assigned

Sep 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joan M Wagstaff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Progressive Pediatrics of Orlando PA

  • Pediatrics Physician
  • Longwood, FL
  • NPI 1992730550
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1104059666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520879",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327520879",
            "telephone_number": "407-830-5437",
            "fax_number": "407-830-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434",
            "address_2": "SUITE 101",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504984",
            "telephone_number": "407-830-5437",
            "fax_number": "407-830-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP1482452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "WAGSTAFF",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Santiago Fallon, LMHC
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• Christopher Allan Fankboner, ARNP
• Susan Catherine Fasold, LMT
• Favor Memorycare Assisted Living Facility Inc
• Feeding Children Everywhere, Inc.
• Feel Young Forever LLC Dba Addiction Alternatives
• Linda D Fegan, LMHC

• Pediatric Nurse Practitioner in Longwood, FL
• Providers in Longwood, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.