Joan K Hirshenson, RD, LDN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

ND8861 Issued in FL

Practice address

85 Captiva Dr
Ponte Vedra, FL 32081-5042

Phone

(631) 404-8416

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1902635501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 BELSHAW AVE # EXCA1377",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463506",
            "telephone_number": "855-442-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CAPTIVA DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815042",
            "telephone_number": "631-404-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHENSON",
        "first_name": "JOAN",
        "middle_name": "K",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "ND8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Hannah
• Joshua M Harrison, M.D.
• Emily K Hart, LAC, AP
• Kristopher Rex Harth, DMD
• Kelli Ann Hathaway, APRN
• Andrew Joseph Hogan, M.D.
• Jessica Holesko, MS, LMFT
• Holiday CVS LLC
• Amanda Maria Holt, AUTONOMOUS APRN, FNP
• Jerry D Howard

• Health & Wellness Coach in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.