Active NPI
Justin Lee Joiner, FNP-C
- Family Nurse Practitioner
- Springfield, MO
National Provider Identifier
1710497136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011021523
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011021523 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- https://api.platform.athenahealth.com/21731/brand/1/csg/1/fhir/r4
- 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.
-
- Primary Care Nurse Practitioner
- Springfield, MO
- NPI 1881193670
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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.