DIVYA MENON


Address: 1824 King St Ste 300, Jacksonville, FL 32204
Phone: 9043881820

DIVYA MENON (NPI# 1255772141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255772141
Entity Type Individual
Full Name DIVYA MENON
Credential PA-C
Practice Address 1824 King St Ste 300
Jacksonville
FL 32204
Mailing Address 1507 S Hiawassee Rd
Ste 107
Orlando
FL 32835-5706
Practice Telephone 9043881820
Practice Fax Number 9043881827
Mailing Telephone 4074459545
Mailing Fax Number 4074459365
Enumeration Date 2013-07-09
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9107224 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
251 Maitland Ave Ste 116, Altamonte Springs, FL 327014913 4079155643 4079602602

Other Providers DIVYA MENON

NPI Name Taxonomy Address Enumeration
1730327834 Divya Menon Internal Medicine 901 W Main St, Suite 205 Cn5050, Freehold, NJ 07728-2537 2009-01-27

Office Location

Street Address 1824 KING ST STE 300
City JACKSONVILLE
State FL
Zip Code 32204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992759740 Kevin R. Long Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204 2006-05-19
1457975427 Melody Karycki Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2020-06-04
1699271809 Victoria Susan Cate Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2018-04-05
1821523713 Latoya D Holton Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2017-04-27
1104365147 Nadine Wlasiuk Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2017-02-22
1487013645 Sunitha Menon Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2016-02-16
1154789386 Christina Kuebler Physician Assistant 1824 King St Ste 300, Jacksonville, FL 32204-4736 2016-02-02
1730554494 Carrie Ann Santos Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2015-12-07
1992189245 Leighanne Michelle Meade Nurse Practitioner 1824 King St Ste 300, Jacksonville, FL 32204-4736 2015-07-16
1508271941 Nima Taghipour Internal Medicine 1824 King St Ste 300, Jacksonville, FL 32204-4736 2014-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851919526 Kyra Panni Physician Assistant 3857 Hartwood Ln, Jacksonville, FL 32216-1486 2020-07-09
1467935213 Alexis Almonte Physician Assistant 655 W 8th St # C-3, Jacksonville, FL 32209-6511 2018-09-07
1053851535 Luciana Oran Physician Assistant 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 2017-03-02
1699217463 Ashley C Moyer Physician Assistant 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 2016-11-10
1437600889 Lindsay Elizabeth Murrell Physician Assistant 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 2016-10-20
1992178719 Sonila Musta-kina Physician Assistant 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 2015-11-02
1922409580 Lindsey Beth Hollingsworth Physician Assistant 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 2014-09-12
1487905220 Krystin Michelle Greene Physician Assistant 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 2012-09-19
1790034296 Gary Robertson Physician Assistant 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 2012-08-30
1366711905 Jeremiah Taejong Oh Physician Assistant 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 2011-12-28
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

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.

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