Individual provider Active NPI

Joy A Christoferson, MSN, ARNP

  • Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1902977473
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006090 Issued in WA
Practice address
1105 S 348TH St Ste B103
Federal Way, WA 98003-7027
Phone
(253) 661-7002
Fax
(253) 661-9132
NPI assigned
Nov 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30006090 WA Primary

Addresses

Primary practice location

1105 S 348TH St Ste B103
Federal Way, WA 98003-7027

Mailing address

4554 33Rd Ave S
Seattle, WA 98118-1602
Phone (206) 329-2814

Other identifiers 1

IdentifierTypeStateIssuer
9635251MedicaidWA

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30006090WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steneker Family Medicine Past Accepting new patients
Benepro P.C. Past Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Past Accepting new patients
Highline Medical Group Inc Nurse Practitioner Past Accepting new patients

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902977473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 33RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181602",
            "telephone_number": "206-329-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S 348TH ST STE B103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037027",
            "telephone_number": "253-661-7002",
            "fax_number": "253-661-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFERSON",
        "first_name": "JOY",
        "middle_name": "A",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635251",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.