Organization Active NPI

Advanced Practice Associates LLC

Doing business as Advanced Practice Clinic

  • Primary Care Clinic/Center
  • Joplin, MO
National Provider Identifier
1790108025
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2012028469 Issued in MO
Legal business name
ADVANCED PRACTICE ASSOCIATES LLC
Doing business as
Advanced Practice Clinic
Practice address
1901 E 32ND St
Suite 20
Joplin, MO 64804-3072
Phone
(417) 781-2046
Fax
(417) 781-2086
NPI assigned
Jan 22, 2014
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Carl Smith, FNP-CNPI 1972882744
Title
Family Nurse Practitioner
Phone
(417) 781-2046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2012028469 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

Other names 1

  • Advanced Practice Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2113804Advanced Practice Associates, LLC1901 E 32ND Street Suite 20, Joplin, MO 64804Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1790108025",
    "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": {
        "organization_name": "ADVANCED PRACTICE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "417-781-2046",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2012028469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.