Individual provider Active NPI

Justin Lee Joiner, FNP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1710497136
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011021523 Issued in MO
Practice address
2132 S Stewart Ave
Springfield, MO 65804
Phone
(417) 368-3489
Fax
(417) 268-9397
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011021523 MO Primary
Clinical Nurse Specialist 364S00000X 2017036478 MO

Addresses

Primary practice location

2132 S Stewart Ave
Springfield, MO 65804

Mailing address

4111 Serenity LN
Nixa, MO 65714-7783
Phone (417) 536-1888

Other practice location 1

4111 Serenity Ln
Nixa, MO 65714-7783
Phone (417) 536-1888

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
2011021523MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
417 Health & Wellness Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1850 S Stewart Ave
Springfield, MO 65804
Phone (417) 447-7777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21731/brand/1/csg/1/fhir/r4
  • Direct secure messaging: justin.joiner.2@21731.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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1710497136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 SERENITY LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147783",
            "telephone_number": "417-536-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 S STEWART AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-368-3489",
            "fax_number": "417-268-9397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Serenity Ln",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657147783",
            "country_code": "US",
            "telephone_number": "417-536-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOINER",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011021523",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MO",
            "license": "2017036478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.