Individual provider Active NPI

Jasmine Goshil Joy

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1851866792
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018685 Issued in PA
Practice address
2835 Tyson Ave
Philadelphia, PA 19149-1415
Phone
(215) 624-6162
NPI assigned
Oct 8, 2018
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 SP018685 PA
Family Nurse Practitioner 363LF0000X SP018685 PA Primary

Addresses

Primary practice location

2835 Tyson Ave
Philadelphia, PA 19149-1415

Mailing address

2835 Tyson Ave
Philadelphia, PA 19149-1415
Phone (215) 790-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191218001735 PA Practitioner - Nurse Practitioner 5294169645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone (215) 685-7630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018685PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince May 31, 2024 Accepting new patients
City of Philadelphia CurrentSince May 31, 2024 Accepting new patients
City of Philadelphia Current Accepting new patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

1101 Market St
Fl 10
Philadelphia, PA 19107

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Organizations & group practices 4

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1851866792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "215-790-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "215-624-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "JASMINE",
        "middle_name": "GOSHIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018685",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.