Active NPI
Joy Vonk, PA-C
- Physician Assistant
- Fuquay Varina, NC
National Provider Identifier
1598078446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02186
- Practice address
- 1006 Procure St.,
Suite 100
Fuquay Varina, NC 27526 - Phone
- (919) 577-9952
- Fax
- (919) 577-9946
- NPI assigned
- Jul 21, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA06779 | TX | |
| Family Medicine Physician | 207Q00000X | NC9500621 | NC | |
| Medical Physician Assistant | 363AM0700X | 0010-02186 | NC | |
| Physician Assistant | 363A00000X | 0010-02186 | NC | Primary |
Addresses
Primary practice location
1006 Procure St.,
Suite 100
Fuquay Varina, NC 27526
Mailing address
1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC9500621 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Family Medicine | Past | Accepting new patients |
| Cardiology Center of Houston PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEDECA
- joy.kernicky.1@18383.direct.athenahealth.com
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.
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Family Medicine
-
- Cardiovascular Disease Physician
- Katy, TX
- NPI 1174683239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1598078446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PERIMETER PARK DR",
"address_2": "SUITE 225",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 PROCURE ST.,",
"address_2": "SUITE 100",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "27526",
"telephone_number": "919-577-9952",
"fax_number": "919-577-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONK",
"first_name": "JOY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA06779",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "NC9500621",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-02186",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
- Varina Transportation LLC
- Michelle Vazquez, LMHC
- Verbal Expressions Speech and Language Services LLC
- Zkhia Via, MSW, LCSWA
- Voca Corporation of North Carolina, Inc.
- Tiffany Wynn Wagner, LMFT
- Wake Specialty Physicians LLC
- Wake Specialty Physicians LLC
- Wake Specialty Physicians LLC
- Wakemed Specialists Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.