Active NPI
Joy Rochelle Herbst, FNP-C
- Women's Health Nurse Practitioner
- Bridgeport, CT
National Provider Identifier
1821247271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 3923
- Practice address
- 46 Albion St
Southwest Community Health Center, Inc
Bridgeport, CT 06605 - Phone
- (203) 330-6000
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0708706 | CT | |
| Women's Health Nurse Practitioner | 363LW0102X | 3923 | CT | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 3923 | CT |
Addresses
Primary practice location
46 Albion St
Southwest Community Health Center, Inc
Bridgeport, CT 06605
Mailing address
62 Far Horizons Dr
Shelton, CT 06484-1708
Phone (203) 926-0484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008023709 | Medicaid | CT |
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 |
|---|---|---|---|
| 3923 | CT | MD | Surgical Physician Assistant |
| F0708706 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Outcomes, LLC | Past | Accepting new patients | |
| Practitioner Support Services LLP | Family | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1821247271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 FAR HORIZONS DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064841708",
"telephone_number": "203-926-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ALBION ST",
"address_2": "SOUTHWEST COMMUNITY HEALTH CENTER, INC",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06605",
"telephone_number": "203-330-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBST",
"first_name": "JOY",
"middle_name": "ROCHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "F0708706",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CT",
"license": "3923",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CT",
"license": "3923",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008023709",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.