DIVYA MENON (NPI# 1255772141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107224 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
251 Maitland Ave Ste 116, Altamonte Springs, FL 327014913 | 4079155643 | 4079602602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730327834 | Divya Menon | Internal Medicine | 901 W Main St, Suite 205 Cn5050, Freehold, NJ 07728-2537 | 2009-01-27 |
Street Address |
1824 KING ST STE 300 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32204 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
Please comment or provide details below to improve the information on DIVYA MENON.
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.