Individual provider Active NPI

Joan N Nunoo, AG-PCNP

  • Primary Care Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1700407426
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95017523 Issued in CA
Practice address
1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone
(559) 277-6570
Fax
(559) 277-6577
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 238737 AZ
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 95017523 CA
Primary Care Nurse Practitioner 363LP2300X 238737 AZ
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 95017523 CA Primary

Addresses

Primary practice location

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118

Mailing address

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone (559) 277-6570

Other practice location 1

1031 N Demaree St
Visalia, CA 93291-4117
Phone (559) 623-9569

Other names 1

  • Joan Naa Lamiley Nunoo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMAIL Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211101000515 CA Practitioner - Nurse Practitioner 4789099664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jandp Spine Center Inc.Group PAC ID 1850632670, 11 clinicians

Practice addresses (Care Compare)

6079 N Fresno St
Suite 101
Fresno, CA 93710-5276
Phone (553) 538-3145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Quality
81.53
Improvement activities
40
Cost
42.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238737AZMDPrimary Care Nurse Practitioner
95017523CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Multi-Specialty Current Accepting new patients
J&P Spine Center Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
J&P Spine Center Inc CurrentSince Feb 1, 2023 Accepting new patients
Community Foundation Medical Group Multi-Specialty CurrentSince Aug 14, 2021 Accepting new patients
Community Foundation Medical Group Multi-Specialty CurrentSince Aug 14, 2021 Accepting new patients
Privia Medical Group Arizona, LLC Multi-Specialty Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

6079 N Fresno St
Ste 101
Fresno, CA 93710
Phone (553) 538-3145

1332 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 277-6570

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

Organizations & group practices 6

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 4

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1700407426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-277-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-277-6570",
            "fax_number": "559-277-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 N Demaree St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914117",
            "country_code": "US",
            "telephone_number": "559-623-9569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNOO",
        "first_name": "JOAN",
        "middle_name": "N",
        "credential": "AG-PCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "238737",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95017523",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "238737",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95017523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "NOTES",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1332 W Herndon Ave Ste 101",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937117118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "NUNOO",
            "middle_name": "NAA LAMILEY",
            "credential": "DAMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.