JODY JOSEPH FNP
NPI 1861663510
Nurse Practitioner - Family in Plymouth, IN

Active since March 20, 2008
2349 LAKE AVE STE 100, PLYMOUTH, IN 46563(574) 472-6700(574) 941-3112 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jody Joseph Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY JOSEPH FNP (NPI 1861663510) is an individual family provider in Plymouth, Indiana, licensed in Indiana (71002470A) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1861663510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODY JOSEPHCredential: FNP
Location Address2349 LAKE AVE STE 100Plymouth, IN 46563-7836
Mailing AddressPo Box 6309South Bend, IN 46660-6309 · (574) 472-6700 · Fax (574) 335-0760
Fax(574) 941-3112
Sole ProprietorNo
Enumeration DateMarch 20, 2008
Last NPPES UpdateAugust 27, 2013
NPI 1861663510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71002470A
2349 LAKE AVE STE 100, Plymouth, IN 46563

Other Identifiers 7

Other000000726441IN · Bcbs
Medicaid200893890IN
Medicare PINM400053457IN
Medicare PINP01192731IN
Medicare PIN151020SSSIN
Other000000562397IN · Anthem, Bcbs
Other000000726441Bcbs

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563
Pharmacist
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563
Family Medicine
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563
Nurse Practitioner
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
2349 LAKE AVE STE 100
PLYMOUTH, IN 46563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Joseph's NPI number?

The NPI number for Jody Joseph is 1861663510. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Jody Joseph located?

Jody Joseph practices at 2349 Lake Ave Ste 100, Plymouth, IN 46563. The listed phone number is (574) 472-6700.

What is Jody Joseph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jody Joseph was last updated on August 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.