Individual provider Active NPI

Joy Wallace, CNM

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1457744112
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9186736 Issued in FL
Practice address
867 Outer Rd Ste a
Orlando, FL 32814-6652
Phone
(407) 898-6588
Fax
(407) 896-3785
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9186736 FL
Advanced Practice Midwife 367A00000X ARNP9186736 FL Primary

Addresses

Primary practice location

867 Outer Rd Ste a
Orlando, FL 32814-6652

Mailing address

867 Outer Rd Ste a
Orlando, FL 32814-6652
Phone (407) 898-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150818003183 FL Practitioner - Nurse Practitioner 8628383817 Reassigns benefits to 1 organization
I20160517001729 FL Practitioner - Certified Nurse Midwife (CNM) 8628383817 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 10, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 10, 2020 Accepting new patients
Women'S Care Florida LLC Nurse Practitioner CurrentSince Apr 15, 2015 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

1733 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-1528

867 Outer Rd
Ste A
Orlando, FL 32814
Phone (407) 898-6588

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

77 Underwood St
Orlando, FL 32806
Phone (407) 649-6884

4401 S Orange Ave
Ste 113
Orlando, FL 32806

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Interoperability endpoints

  • Direct secure messaging: jwallace106908@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1457744112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 OUTER RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 OUTER RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9186736",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9186736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.