Individual provider Active NPI

Joan D Fuchs, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1235158445
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11036758 Issued in FL
Practice address
1721 SW Gatlin Blvd
Port St Lucie, FL 34953-2757
Phone
(772) 873-7114
Fax
(772) 873-7115
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP118277 TX
Nurse Practitioner 363L00000X ARNP9167933 FL
Pediatric Nurse Practitioner 363LP0200X AP118277 TX
Nurse Practitioner 363L00000X APRN11036758 FL Primary

Addresses

Primary practice location

1721 SW Gatlin Blvd
Port St Lucie, FL 34953-2757

Mailing address

1721 SW Gatlin Blvd
Port St Lucie, FL 34953-2757
Phone (772) 873-7114

Other identifiers 1

IdentifierTypeStateIssuer
128369700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161026000725 TX Practitioner - Nurse Practitioner 9931104916 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11036758FLMDNurse Practitioner
ARNP9167933FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 23, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 23, 2016 Accepting new patients
Texas Children's Physician Group CurrentSince Jun 24, 2022 Accepting new patients

Locations

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

6701 Fannin St
Fl 11
Houston, TX 77030
Phone (832) 822-3540

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1102 Bates Ave
Ste 1440
Houston, TX 77030
Phone (832) 824-1065

6977 Main St
Houston, TX 77030
Phone (713) 793-3700

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: joan.fuchs.1@12404.direct.athenahealth.com

Organizations & group practices 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1235158445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SW GATLIN BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532757",
            "telephone_number": "772-873-7114",
            "fax_number": "772-873-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SW GATLIN BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532757",
            "telephone_number": "772-873-7114",
            "fax_number": "772-873-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "JOAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP118277",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9167933",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP118277",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11036758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128369700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.