Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9278630 Issued in FL

Practice address

3728 Philips Hwy Ste 34
Jacksonville, FL 32207-6840

Phone

(904) 399-2766

Fax

(904) 549-8300

NPI assigned

Oct 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIABAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
• Direct secure messaging: jeffrey.vongjesda.1@14940.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FIGGAA/Endpoint/FIGGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beach Medical Specialist PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1720125479
  Medicare reassignment NPD
• North Florida Multispecialty Physicians LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1639593213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1003286824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 PHILIPS HWY STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076840",
            "telephone_number": "904-399-2766",
            "fax_number": "904-549-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILIPS HWY STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076840",
            "telephone_number": "904-399-2766",
            "fax_number": "904-549-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGJESDA",
        "first_name": "JEFFREY",
        "middle_name": "LUDAN",
        "name_prefix": "Mr.",
        "credential": "M.S., APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9278630",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60962308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007934",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "817161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9278630",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9278630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volunteers of America of Florida, Inc
• Kristin Leah Vomvoris, CRNA
• Kari Sproul Von Goeben, M.D.
• Travis Randall Von Tobel, M.D.
• Dawn Vonderau, RDH
• Vonostir Innovation Services PLLC
• Darlene M Vontobel, A.R.N.P.
• Vop Anthem Lakes, LLC
• Shelby Victoria Vopper
• Aaditya Mahendra Vora, MD

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.