Active NPI
Joleen D Bishop, N.P.
- Women's Health Nurse Practitioner
- Novato, CA
National Provider Identifier
1295737435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 21702
- Practice address
- 6100 Redwood Blvd
Novato, CA 94945-4501 - Phone
- (415) 448-1500
- Fax
- (415) 798-3104
- NPI assigned
- Jun 1, 2005
- Last updated
- Apr 30, 2020
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 21702 | CA | Primary |
Addresses
Primary practice location
6100 Redwood Blvd
Novato, CA 94945-4501
Mailing address
PO Box 5008
Novato, CA 94948-5008
Phone (415) 448-1500
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marin Community Clinic | Current | Accepting new patients | |
| Marin Community Clinic | Current | Accepting new patients | |
| Obstetrical and Gynecological Associates, P.a. | Past | Accepting new patients |
Locations
6100 Redwood Blvd
Novato, CA 94945
Phone (415) 798-3133
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.
-
- Federally Qualified Health Center (FQHC)
- San Rafael, CA
- NPI 1508514902
-
- Community Health Clinic/Center
- Greenbrae, CA
- NPI 1780292912
-
dba OGA - West
- Obstetrics & Gynecology Physician
- Katy, TX
- NPI 1306018312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1295737435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5008",
"city": "NOVATO",
"state": "CA",
"postal_code": "949485008",
"telephone_number": "415-448-1500",
"fax_number": "415-798-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454501",
"telephone_number": "415-448-1500",
"fax_number": "415-798-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "JOLEEN",
"middle_name": "D",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "21702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.