Individual provider Active NPI

Valessa Joseph, ARNP

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1669867727
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9263095 Issued in FL
Practice address
1300 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2109
Phone
(772) 878-7078
NPI assigned
Apr 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 9263095 FL Primary

Addresses

Primary practice location

1300 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2109

Mailing address

6559 Adriaitc Way
West Palm Beach, FL 33413-2109

Other practice location 1

6559 Adriatic Way
Greenacres, FL 33413-1089
Phone (772) 878-7078

Other practice location 2

677 Trace Cir Apt 210
Deerfield Beach, FL 33441-7802
Phone (954) 363-1011

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

State licenses

LicenseStateTypeSpecialty
9263095FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669867727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 ADRIAITC WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334132109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SW SAINT LUCIE WEST BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862109",
            "telephone_number": "772-878-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6559 Adriatic Way",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334131089",
            "country_code": "US",
            "telephone_number": "772-878-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Trace Cir Apt 210",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334417802",
            "country_code": "US",
            "telephone_number": "954-363-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "VALESSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9263095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.