Individual provider Active NPI

Fernande Joseph

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1750915005
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11005151 Issued in FL
Practice address
6051 SW 195TH Ave
Fort Lauderdale, FL 33332-3399
Phone
(786) 267-0607
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11005151 FL Primary

Addresses

Primary practice location

6051 SW 195TH Ave
Fort Lauderdale, FL 33332-3399

Mailing address

6051 SW 195TH Ave
Fort Lauderdale, FL 33332-3399
Phone (786) 267-0607

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
I20200526000930 FL Practitioner - Nurse Practitioner 6002237203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J and G Medical Associates PAGroup PAC ID 2860700408, 3 clinicians

Practice addresses (Care Compare)

4200 Washington St
Hillcrest Nursing/Re
Hollywood, FL 33021-7353
Phone (954) 981-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J & G Medical Associates PA Psychiatric/Mental Health CurrentSince May 7, 2020 Accepting new patients

Locations

8958 W State Road 84
Davie, FL 33324
Phone (754) 777-0917

4200 Washington St
Hollywood, FL 33021
Phone (954) 981-6300

Organizations & group practices 1

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1750915005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 SW 195TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323399",
            "telephone_number": "786-267-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 SW 195TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323399",
            "telephone_number": "786-267-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "FERNANDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.