Active NPI
Joanna C Steele, MD
- Emergency Medicine Physician
- Fernandina Beach, FL
National Provider Identifier
1508884644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME89383
- Practice address
- 1250 S 18TH St
Fernandina Beach, FL 32034-1902 - Phone
- (904) 396-5682
- Fax
- (904) 346-0864
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME89383 | FL | Primary |
Addresses
Primary practice location
1250 S 18TH St
Fernandina Beach, FL 32034-1902
Mailing address
820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Phone (904) 396-5682
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37626 | Other | FL | BCBS |
| 269341100 | Medicaid | FL | |
| 221941461B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89383 | FL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1508884644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 713",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078209",
"telephone_number": "904-396-5682",
"fax_number": "904-346-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S 18TH ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320341902",
"telephone_number": "904-396-5682",
"fax_number": "904-346-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "JOANNA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME89383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37626",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269341100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221941461B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.