Active NPI
Joanne Pina, PHLEBOTOMIST
- Phlebology Physician
- Cape Coral, FL
National Provider Identifier
1386396208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 141893
- Practice address
- 1810 NW 17TH St
Cape Coral, FL 33993-4933 - Phone
- (786) 333-6316
- NPI assigned
- Jan 21, 2022
- 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 |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 141893 | NY | Primary |
Addresses
Primary practice location
1810 NW 17TH St
Cape Coral, FL 33993-4933
Mailing address
1810 NW 17TH St
Cape Coral, FL 33993-4933
Phone (786) 333-6316
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141893 | NY | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doorstep Lab Services | Phlebology | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1386396208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 NW 17TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339934933",
"telephone_number": "786-333-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 NW 17TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339934933",
"telephone_number": "786-333-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "JOANNE",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NY",
"license": "141893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.