Individual provider Active NPI

Jennifer Eileen Konowitz, ARNP

  • Family Nurse Practitioner
  • Melbourne BCH, FL
National Provider Identifier
1265797328
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9283757 Issued in FL
Practice address
143 Caledonia Dr
Melbourne BCH, FL 32951
Phone
(321) 733-0221
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9283757 FL Primary

Addresses

Primary practice location

143 Caledonia Dr
Melbourne BCH, FL 32951

Mailing address

143 Caledonia Dr
Melbourne Beach, FL 32951-3902
Phone (321) 733-0221

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121018000318 FL Practitioner - Nurse Practitioner 8729238233 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9283757FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Florida, LLC CurrentSince Jan 1, 2016 Accepting new patients
Pelican Coast Emergency Physicians LLC Past Accepting new patients

Locations

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

Interoperability endpoints

  • Direct secure messaging: jkonowitz71390@epicdirect.hf.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1265797328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CALEDONIA DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513902",
            "telephone_number": "321-733-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CALEDONIA DR",
            "city": "MELBOURNE BCH",
            "state": "FL",
            "postal_code": "32951",
            "telephone_number": "321-733-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOWITZ",
        "first_name": "JENNIFER",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9283757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.