Individual provider Active NPI

Joann T Spinnato, PNP

  • Pediatric Nurse Practitioner
  • Patchogue, NY
National Provider Identifier
1124291083
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
381840 Issued in NY
Practice address
101 Gillette Ave
Patchogue, NY 11772-2514
Phone
(631) 790-3413
Fax
(631) 438-0303
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 456583-1 NY
Pediatric Nurse Practitioner 363LP0200X 381840 NY Primary

Addresses

Primary practice location

101 Gillette Ave
Patchogue, NY 11772-2514

Mailing address

101 Gillette Ave
Patchogue, NY 11772-2514
Phone (631) 790-3413

Other identifiers 1

IdentifierTypeStateIssuer
03280059MedicaidNY

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
456583-1NYMDMedical Physician Assistant
381840NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Spinnato Pediatric NP PLLC CurrentSince May 3, 2020 Accepting new patients

Organizations & group practices 1

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1124291083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GILLETTE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722514",
            "telephone_number": "631-790-3413",
            "fax_number": "631-438-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GILLETTE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722514",
            "telephone_number": "631-790-3413",
            "fax_number": "631-438-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNATO",
        "first_name": "JOANN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "456583-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03280059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.