Individual provider Active NPI

Quentin Wade Caswell, FNP-C

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1770831125
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012028473 Issued in MO
Practice address
1901 E 32ND St
Suite 20
Joplin, MO 64804-3072
Phone
(417) 781-2046
Fax
(417) 781-2086
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012028473 MO Primary

Addresses

Primary practice location

1901 E 32ND St
Suite 20
Joplin, MO 64804-3072

Mailing address

1901 E 32ND St
Suite 20
Joplin, MO 64804-3072
Phone (417) 781-2046

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
2012028473MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Any Lab Test Now of Joplin Current Accepting new patients
Cornerstone Medical, LLC PastSince Oct 2, 2022 Accepting new patients
Ali Internal Medicine Associates, PC PastSince Mar 1, 2010 Accepting new patients

Locations

1901 E 32nd St
Ste 20
Joplin, MO 64804
Phone (417) 781-2046

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1770831125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 32ND ST",
            "address_2": "SUITE 20",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043072",
            "telephone_number": "417-781-2046",
            "fax_number": "417-781-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 32ND ST",
            "address_2": "SUITE 20",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043072",
            "telephone_number": "417-781-2046",
            "fax_number": "417-781-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "QUENTIN",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012028473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.