Individual provider Active NPI

Emine Julide Comer, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1316266448
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9235496 Issued in FL
Practice address
134 South Woods Drive
Rockledge, FL 32955-3262
Phone
(321) 636-3066
Fax
(321) 636-2545
NPI assigned
May 28, 2010
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9235496 FL
Pediatric Nurse Practitioner 363LP0200X ARNP9235496 FL Primary

Addresses

Primary practice location

134 South Woods Drive
Rockledge, FL 32955-3262

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 636-3066

Other practice location 1

110 Buenaventura Blvd
Kissimmee, FL 34743-4513
Phone (407) 344-0021

Other practice location 2

8057 Spyglass Hill Rd Ste 102
Viera, FL 32940-8565
Phone (321) 435-9800

Other practice location 3

699 W Cocoa Beach Cswy Ste 401
Cocoa Beach, FL 32931-3562
Phone (321) 784-5437

Other practice location 4

1755 W Hibiscus Blvd
Melbourne, FL 32901-2616
Phone (321) 724-5437

Other identifiers 1

IdentifierTypeStateIssuer
022838400MedicaidFL

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9235496FLMDRegistered Nurse
ARNP9235496FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emine.comer.1@8042.direct.athenahealth.com

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, 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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1316266448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SOUTH WOODS DRIVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553262",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Buenaventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347434513",
            "country_code": "US",
            "telephone_number": "407-344-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8057 Spyglass Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329408565",
            "country_code": "US",
            "telephone_number": "321-435-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 W Cocoa Beach Cswy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313562",
            "country_code": "US",
            "telephone_number": "321-784-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012616",
            "country_code": "US",
            "telephone_number": "321-724-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMER",
        "first_name": "EMINE",
        "middle_name": "JULIDE",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9235496",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9235496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022838400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.