Active NPI
Joanna Lynn Nightingale, APRN
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005171
- Practice address
- 3800 South Ocean Dr.
Ste 209
Hollywood, FL 33019 - Phone
- (800) 226-8874
- NPI assigned
- Nov 29, 2019
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005171 | FL | Primary |
Addresses
Primary practice location
3800 South Ocean Dr.
Ste 209
Hollywood, FL 33019
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 306-8790
5880 49TH St N
Suite N 201
St Petersburg, FL 33709-2150
Phone (727) 300-0405
6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (727) 896-4615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005171 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Precisely of Northside LLC | Current | Accepting new patients | |
| Wound Care Physicians of Tampa Bay LLC | Current | Accepting new patients | |
| Beaton Podiatry Center Inc | Current | Accepting new patients | |
| QSM-NC, PA | Family | Current | Accepting new patients |
| QSM-Ky, Inc | Family | Past | Accepting new patients |
Locations
3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013
5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405
6707 38th Ave N
St Petersburg, FL 33710
Phone (727) 800-9958
3864 Sweeten Creek Rd
Arden, NC 28704
Phone (828) 676-2177
500 Mountain Top Dr
Asheboro, NC 27203
Phone (336) 625-2074
401 Lambert Rd
Biscoe, NC 27209
Phone (910) 428-2117
300 Morris Rd
Brevard, NC 28712
Phone (828) 877-4020
1601 Purdue Dr
Fayetteville, NC 28304
Phone (910) 486-5000
400 Pelt Dr
Fayetteville, NC 28301
Phone (910) 822-0515
104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600
104 College Dr
Ste 209
Flat Rock, NC 28731
620 Johns Rd
Laurinburg, NC 28352
Phone (910) 276-8400
1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138
5229 Appomattox Rd
Pleasant Garden, NC 27313
Phone (336) 674-2252
103 Gossman Rd
Southern Pnes, NC 28387
Phone (910) 246-1000
2051 Country Club Rd
Wadesboro, NC 28170
Phone (704) 694-4106
516 Wall St
Waynesville, NC 28786
Phone (828) 452-3154
5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 332-8395
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Foot & Ankle Surgery Podiatrist
- St Petersburg, FL
- NPI 1366626541
-
- General Practice Physician
- St Petersburg, FL
- NPI 1093433674
-
- Wound Care Registered Nurse
- St Petersburg, FL
- NPI 1245056522
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": "1574985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1497392260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "800-226-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SOUTH OCEAN DR.",
"address_2": "STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33019",
"telephone_number": "800-226-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGHTINGALE",
"first_name": "JOANNA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-29",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.