Active NPI
Joan Ackman, R.N.
- Registered Nurse
- Farmington, MO
National Provider Identifier
1235664616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2001000600
- Practice address
- 1180 Old Jackson Rd
Farmington, MO 63640-3428 - Phone
- (573) 760-1700
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2001000600 | MO | Primary |
Addresses
Primary practice location
1180 Old Jackson Rd
Farmington, MO 63640-3428
Mailing address
12612 Tall Pine Dr
Ste Genevieve, MO 63670-8613
Phone (573) 883-0592
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001000600 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1235664616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12612 TALL PINE DR",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636708613",
"telephone_number": "573-883-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 OLD JACKSON RD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403428",
"telephone_number": "573-760-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKMAN",
"first_name": "JOAN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2001000600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.