Active NPI
Joyce A Jackowski, ARNP
- Nurse Practitioner
- Englewood, FL
National Provider Identifier
1295774784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9396947
- Practice address
- 714 Doctors Dr
Englewood, FL 34223-3992 - Phone
- (941) 460-1300
- Fax
- (941) 460-1306
- NPI assigned
- Jun 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024168707 | VA | |
| Nurse Practitioner | 363L00000X | NP07980 | OH | |
| Nurse Practitioner | 363L00000X | ARNP9396947 | FL | Primary |
Addresses
Primary practice location
714 Doctors Dr
Englewood, FL 34223-3992
Mailing address
4371 Veronica S Shoemaker Blvd
Attn Credentialing
Fort Myers, FL 33916-2216
Phone (239) 274-7820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000391441 | Other | ANTHEM | |
| 2519984 | Medicaid | OH |
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 |
|---|---|---|---|
| NP07980 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients | |
| Dayton Physicians, LLC | Past | Accepting new patients | |
| Dayton Physicians, LLC | Past | Accepting new patients | |
| Hematology & Oncology of Dayton, Inc. | Past | Accepting new patients | |
| Capital Palliative Care Consultants, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Falls Church, VA
- NPI 1275541013
-
dba Dayton Physicians
- Durable Medical Equipment & Medical Supplies
- Dayton, OH
- NPI 1811141559
-
dba Dayton Physicians
- Hematology & Oncology Physician
- Dayton, OH
- NPI 1902844947
-
- Hematology & Oncology Physician
- Dayton, OH
- NPI 1518156983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1295774784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"address_2": "ATTN CREDENTIALING",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"telephone_number": "239-274-7820",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 DOCTORS DR",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233992",
"telephone_number": "941-460-1300",
"fax_number": "941-460-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKOWSKI",
"first_name": "JOYCE",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024168707",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP07980",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9396947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000391441",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2519984",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
- Infinity Home Care Plus of Florida, Inc
- Inglenook House Afh, Co. (Inglenook House)
- Inglenook House Inc
- Integrated Regional Laboratories Pathology Services, LLC
- J Villotti MD & Associates PA (Primary Care Specialist of Englewood)
- Barbara Jackson, B.S., PHARMD, CP
- Blessy Mathew Jacob, M.D.
- James Eugenides OD PA
- James Villotti MD PA
- Justin Jamison, OTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.