Individual provider Active NPI

Joahnna L Fournier, CRNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fallston, MD
National Provider Identifier
1669720306
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R174382 Issued in MD
Practice address
1814 Bel Air Rd
Fallston, MD 21047-2734
Phone
(443) 981-3337
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R174382 MD Primary

Addresses

Primary practice location

1814 Bel Air Rd
Fallston, MD 21047-2734

Mailing address

120 Sister Pierre Dr Ste 305
Towson, MD 21204-7526
Phone (410) 769-8801

Other practice location 1

8114 Sandpiper Cir
Suite 100
Baltimore, MD 21236-4934
Phone (410) 933-8101

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R174382MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honeygo Pediatrics Past Accepting new patients
Nardine Assaad, MD, LLC PastSince May 16, 2022 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1669720306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 305",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047526",
            "telephone_number": "410-769-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472734",
            "telephone_number": "443-981-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8114 Sandpiper Cir",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212364934",
            "country_code": "US",
            "telephone_number": "410-933-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "JOAHNNA",
        "middle_name": "L",
        "credential": "CRNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R174382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.