JOAN M FARMER (NPI# 1104059666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059666 |
| Entity Type | Individual |
| Full Name | JOAN M FARMER |
| Other Name | JOAN M WAGSTAFF |
| Credential | ARNP |
| Practice Address |
521 W State Road 434 Suite 101 Longwood FL 32750-4984 |
| Mailing Address |
Po Box 520879 Longwood FL 32752-0879 |
| Practice Telephone | 4078305437 |
| Practice Fax Number | 4078304907 |
| Mailing Telephone | 4078305437 |
| Mailing Fax Number | 4078304907 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP1482452 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
521 W STATE ROAD 434 SUITE 101 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891738407 | Elizabeth P Heil | Internal Medicine | 521 W State Road 434, Suite 302, Longwood, FL 32750-4984 | 2006-06-13 |
| 1568727584 | Saulius J Jankauskas Md | Plastic Surgery | 521 W State Road 434, Suite 106, Longwood, FL 32750-4984 | 2012-07-05 |
| 1073764403 | Bertrand Bezanchong Teh Fonji | Surgery | 521 W State Road 434, Suite 301, Longwood, FL 32750-4984 | 2008-10-03 |
| 1902078512 | Jon D Wiese Md Facs Pa | Surgery | 521 W State Road 434, Suite 305, Longwood, FL 32750-4984 | 2008-03-24 |
| 1932388196 | Robert W. Burns M.d., Facs Pl | Surgery | 521 W State Road 434, Suite 306, Longwood, FL 32750-4984 | 2007-10-24 |
| 1942495445 | Longwood Foot & Ankle Physician Pa | Podiatrist | 521 W State Road 434, Suite 300, Longwood, FL 32750-4984 | 2007-09-09 |
| 1225251739 | Elizabeth Heil Md Inc | Internal Medicine | 521 W State Road 434, Suite 302, Longwood, FL 32750-4984 | 2007-04-11 |
| 1952474561 | Jon D Wiese | Surgery | 521 W State Road 434, Suite 301, Longwood, FL 32750-5166 | 2006-11-15 |
| 1316962574 | Saulius J Jankauskas | Plastic Surgery | 521 W State Road 434, Longwood, FL 32750-4984 | 2006-07-12 |
| 1992730550 | Progressive Pediatrics of Orlando Pa | Pediatrics | 521 W State Road 434, Suite 101, Longwood, FL 32750 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387957 | Mary Voll | Nurse Practitioner | 475 Osceola St, St 1100, Longwood, FL 32701 | 2019-10-15 |
| 1992244768 | Sarah Sercombe | Nurse Practitioner | 357 Wekiva Springs Rd, Longwood, FL 32779-3607 | 2017-02-14 |
| 1316327729 | Lakoscia Harris | Nurse Practitioner | 521 W State Road 434 Ste 101, Pediatric&adolescent Med of Seminole, In Assoc With Nem, Longwood, FL 32750-4952 | 2015-06-02 |
| 1700056843 | Jillian Morgan Ellington | Nurse Practitioner | 550 E State Road 434, Longwood, FL 32750-5222 | 2008-03-05 |
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| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.