Individual provider Active NPI

Joelle D Vazquez, FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1497532006
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028404 Issued in FL
Practice address
3141 E Highway 98
Panama City, FL 32401-5415
Phone
(850) 785-9511
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 APRN11028404 FL Primary

Addresses

Primary practice location

3141 E Highway 98
Panama City, FL 32401-5415

Mailing address

4525 Bylsma Cir
Panama City, FL 32404-1810
Phone (850) 387-6439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231107003267 FL Practitioner - Nurse Practitioner 5193172542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Khan MD LLCGroup PAC ID 9931325701, 3 clinicians

Practice addresses (Care Compare)

3141 E Hwy 98
Panama City, FL 32401-5415
Phone (850) 219-6800

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11028404FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Khan MD LLC CurrentSince Oct 1, 2023 Accepting new patients
Misal Khan,M.D. FRCS(Ed) P.a. PastSince Feb 18, 2014 Accepting new patients

Locations

3141 E Highway 98
Panama City, FL 32401
Phone (850) 219-6800

3808 E 3rd St
Panama City, FL 32401
Phone (850) 319-0272

Organizations & group practices 2

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1497532006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 BYLSMA CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324041810",
            "telephone_number": "850-387-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015415",
            "telephone_number": "850-785-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JOELLE",
        "middle_name": "D",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.