Active NPI
Joanne Puleo, ARNP
- Family Nurse Practitioner
- St Augustine, FL
National Provider Identifier
1154520815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9232509
- Practice address
- Flagler Hospital Primary Care Clinic
300 Health Park Blvd
St Augustine, FL 32086 - Phone
- (904) 819-4747
- Fax
- (904) 819-5080
- NPI assigned
- Jul 13, 2007
- Last updated
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9232509 | FL | Primary |
Addresses
Primary practice location
Flagler Hospital Primary Care Clinic
300 Health Park Blvd
St Augustine, FL 32086
Mailing address
Flagler Hospital Primary Care Clinic
300 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4747
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232509 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center Inc. | Past | Accepting new patients | |
| Conviva Medical Center Management LLC | Past | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1154520815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FLAGLER HOSPITAL PRIMARY CARE CLINIC",
"address_2": "300 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32086",
"telephone_number": "904-819-4747",
"fax_number": "904-819-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FLAGLER HOSPITAL PRIMARY CARE CLINIC",
"address_2": "300 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32086",
"telephone_number": "904-819-4747",
"fax_number": "904-819-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9232509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Publix Super Markets, Inc. (Publix Pharmacy #1829)
- Publix Super Markets, Inc. (Publix Pharmacy #2014)
- Publix Super Markets, Inc. (Publix Pharmacy #2113)
- Marie Cross Pucillo, D.M.D.
- Emily Pudlinski, M.S.
- Pulmonary Associates of St
- Eric Pulsfus, MD
- Lance Craig Pulver, PH.D.
- Baha Qablawi, DMD
- Maryam Qadir, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.