Individual provider Active NPI

Joanna Lynn Nightingale, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1497392260
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005171 Issued in FL
Practice address
3800 South Ocean Dr.
Ste 209
Hollywood, FL 33019
Phone
(800) 226-8874
NPI assigned
Nov 29, 2019
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 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, NC2 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
I20220928002204 FL Practitioner - Nurse Practitioner 7618353616 Reassigns benefits to 3 organizations
I20241205003257 NC Practitioner - Nurse Practitioner 7618353616 Reassigns benefits to 1 organization

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
Wound Care Physicians of Tampa Bay LLCGroup PAC ID 6002344272, 8 clinicians
Heal Precisely of Northside LLCGroup PAC ID 9537544853, 10 clinicians
Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

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

LicenseStateTypeSpecialty
11005171FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Precisely of Northside LLC CurrentSince Sep 1, 2025 Accepting new patients
Wound Care Physicians of Tampa Bay LLC CurrentSince Sep 1, 2025 Accepting new patients
Beaton Podiatry Center Inc CurrentSince Nov 25, 2025 Accepting new patients
QSM-NC, PA Family CurrentSince Aug 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.