Individual provider Active NPI

Joanne Hanora Preston, N.P.

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1417037748
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336975 Issued in NY
Practice address
150 East 42ND Street BTWN. 3Rd and Lexington
Minute Clinic
New York, NY 10017
Phone
(212) 661-8139
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336975 NY Primary

Addresses

Primary practice location

150 East 42ND Street BTWN. 3Rd and Lexington
Minute Clinic
New York, NY 10017

Mailing address

160 E 48TH St Apt 9G
New York, NY 10017-2184
Phone (831) 402-4997

Other identifiers 1

IdentifierTypeStateIssuer
414828784OtherNYNY DRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230322001559 AL Practitioner - Nurse Practitioner 0547420986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

2505 Old Shell Rd
Mobile, AL 36607-3021
Phone (251) 660-6400

Hospital & facility affiliations

  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Baldwin Health Hospital, Foley, AL, CCN 010083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Apr 1, 2023 Accepting new patients

Locations

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: joanne.preston.1@16253.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1417037748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 48TH ST APT 9G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172184",
            "telephone_number": "831-402-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EAST 42ND STREET BTWN. 3RD AND LEXINGTON",
            "address_2": "MINUTE CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-661-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "JOANNE",
        "middle_name": "HANORA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY DRIVERS LICENSE",
            "identifier": "414828784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.