Individual provider Active NPI

Darien Lavoy Joseph

  • Administrator Registered Nurse
  • Apopka, FL
National Provider Identifier
1427638352
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN9190043 Issued in FL
Practice address
2569 Ponkan Summit Dr
Apopka, FL 32712-6415
Phone
(321) 960-7362
NPI assigned
Apr 13, 2021
Reactivated
May 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9190043 FL
Administrator Registered Nurse 163WA2000X RN9190043 FL Primary

Addresses

Primary practice location

2569 Ponkan Summit Dr
Apopka, FL 32712-6415

Mailing address

2569 Ponkan Summit Dr
Apopka, FL 32712-6415
Phone (321) 960-7362

Other identifiers 1

IdentifierTypeStateIssuer
86-2767155MedicaidFL

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

LicenseStateTypeSpecialty
RN9190043FLMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1427638352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 PONKAN SUMMIT DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126415",
            "telephone_number": "321-960-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 PONKAN SUMMIT DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126415",
            "telephone_number": "321-960-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DARIEN",
        "middle_name": "LAVOY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "deactivation_date": "2021-05-24",
        "reactivation_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9190043",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9190043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-2767155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.