Individual provider Active NPI

Joseph Webber, NP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1104845791
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN082180 AP03352 Issued in LA
Practice address
4457 Bayou Blvd
Pensacola, FL 32503
Phone
(850) 226-6801
Fax
(877) 413-5104
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 RN082180 AP03352 LA Primary

Addresses

Primary practice location

4457 Bayou Blvd
Pensacola, FL 32503

Mailing address

4457 Bayou Blvd
Pensacola, FL 32503-2601
Phone (850) 226-6801

Other practice location 1

307 Chisum St
Sicily Island, LA 71368-4807
Phone (318) 389-5727

Other practice location 2

307 Chisum St
Sicily Island, LA 71368-4807
Phone (318) 389-5727

Other identifiers 1

IdentifierTypeStateIssuer
1543144MedicaidLA

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
RN082180 AP03352LAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: josephwebber@ecc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1104845791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Chisum St",
            "address_purpose": "LOCATION",
            "city": "Sicily Island",
            "state": "LA",
            "postal_code": "713684807",
            "country_code": "US",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-4028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Chisum St",
            "address_purpose": "LOCATION",
            "city": "Sicily Island",
            "state": "LA",
            "postal_code": "713684807",
            "country_code": "US",
            "telephone_number": "318-389-5727",
            "fax_number": "318-389-4028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN082180 AP03352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543144",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.