Individual provider Active NPI

Joy Lee Mowett-Fuller, DNP, AAPRN, FNP-BC

  • Family Nurse Practitioner
  • Lantana, FL
National Provider Identifier
1720228208
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2602122 Issued in FL
Practice address
6234 S Congress Ave Ste F1
Lantana, FL 33462-2307
Phone
(561) 619-9510
Fax
(561) 619-9511
NPI assigned
Feb 24, 2009
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2602122 FL
Family Nurse Practitioner 363LF0000X 2602122 FL Primary

Addresses

Primary practice location

6234 S Congress Ave Ste F1
Lantana, FL 33462-2307

Mailing address

PO Box 741424
Boynton Beach, FL 33474-1424
Phone (561) 853-7233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090922000644 FL Practitioner - Nurse Practitioner 3072669795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6234 S Congress Ave
Suite F1
Lantana, FL 33462-2307
Phone (561) 619-9510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2602122FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical University LLC CurrentSince May 18, 2025 Accepting new patients
Total Care Medical Centers LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

8200 S Jog Rd
Ste 205
Boynton Beach, FL 33472
Phone (561) 364-9584

6234 S Congress Ave
Ste F1
Lantana, FL 33462
Phone (561) 434-6005

Interoperability endpoints

  • Direct secure messaging: joy.fuller.1@23521.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1720228208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741424",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334741424",
            "telephone_number": "561-853-7233",
            "fax_number": "561-619-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 S CONGRESS AVE STE F1",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622307",
            "telephone_number": "561-619-9510",
            "fax_number": "561-619-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWETT-FULLER",
        "first_name": "JOY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, AAPRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2602122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2602122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.