Individual provider Active NPI

Josemi Ebby Joseph, FNP

  • Family Nurse Practitioner
  • Thorndale, PA
National Provider Identifier
1316545502
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022506 Issued in PA
Practice address
3149 Lincoln Hwy Ste C
Thorndale, PA 19372-1129
Phone
(610) 384-4100
NPI assigned
Oct 11, 2020
Last updated
Oct 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X SP022506 PA Primary

Addresses

Primary practice location

3149 Lincoln Hwy Ste C
Thorndale, PA 19372-1129

Mailing address

102 Comet LN
Coatesville, PA 19320-1022
Phone (610) 314-9036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210521000885 PA Practitioner - Nurse Practitioner 4284033374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chespenn Health ServicesGroup PAC ID 5991695389, 11 clinicians

Practice addresses (Care Compare)

744 E Lincoln Hwy
Suite 110
Coatesville, PA 19320-3590
Phone (610) 380-4660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022506PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chespenn Health Services CurrentSince Apr 1, 2024 Accepting new patients
Chespenn Health Services Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Manos Family Practice PC Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Chespenn Health Services Past Accepting new patients
Pentahealth, LLC Single Specialty PastSince Jan 3, 2022 Accepting new patients

Locations

125 E 9th St
Chester, PA 19013
Phone (610) 872-6131

744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660

1510 Chester Pike
Ste 200
Eddystone, PA 19022
Phone (610) 485-3800

915 Old Fern Hill Rd
Ste 500
West Chester, PA 19380
Phone (610) 235-4100

915 Old Fern Hill Rd
Ste D500
West Chester, PA 19380
Phone (610) 692-7025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHIBD
  • Direct secure messaging: josemi.joseph.1@28169.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1316545502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMET LN",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201022",
            "telephone_number": "610-314-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY STE C",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-384-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOSEMI",
        "middle_name": "EBBY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.