Active NPI
Theresa Anne Narasimhan, RN, MSN
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1033412549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F306932-1
- Practice address
- 1431 Riverplace Blvd
Unit 3408
Jacksonville, FL 32207-9028 - Phone
- (414) 336-4399
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.008804 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 9360704 | FL | |
| Nurse Practitioner | 363L00000X | F306932-1 | NY | Primary |
Addresses
Primary practice location
1431 Riverplace Blvd
Unit 3408
Jacksonville, FL 32207-9028
Mailing address
1431 Riverplace Blvd
Unit 3408
Jacksonville, FL 32207-9028
Phone (414) 336-4399
Other names 1
- Ms. Theresa Anne Konen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306932-1 | NY | MD | Nurse Practitioner |
| 9360704 | FL | MD | Adult Health Nurse Practitioner |
| 209.008804 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Systems LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1033412549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 RIVERPLACE BLVD",
"address_2": "UNIT 3408",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079028",
"telephone_number": "414-336-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 RIVERPLACE BLVD",
"address_2": "UNIT 3408",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079028",
"telephone_number": "414-336-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARASIMHAN",
"first_name": "THERESA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209.008804",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9360704",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F306932-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "KONEN",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.