Individual provider Active NPI

Joann Fisher, ARNP

  • Gerontology Nurse Practitioner
  • Lakewood Ranch, FL
National Provider Identifier
1235194903
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP1072712 Issued in FL
Practice address
6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130
Phone
(941) 924-9955
Fax
(941) 924-5165
NPI assigned
Apr 18, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP1072712 FL Primary

Addresses

Primary practice location

6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130

Mailing address

6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130
Phone (941) 924-9955

Other identifiers 1

IdentifierTypeStateIssuer
303125000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1072712FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osler Medical Inc Past Accepting new patients
Osler Hma Medical Group LLC Past Accepting new patients
Physicians of South Florida, LLC PastSince Mar 1, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1235194903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 VENTURE DR",
            "address_2": "SUITE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025130",
            "telephone_number": "941-924-9955",
            "fax_number": "941-924-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VENTURE DR",
            "address_2": "SUITE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025130",
            "telephone_number": "941-924-9955",
            "fax_number": "941-924-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP1072712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303125000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.