Individual provider Active NPI

Jonathan Peach, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1316375041
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9288493 Issued in FL
Practice address
1414 N Ronald Reagan Blvd Unit 1200
Longwood, FL 32750-3418
Phone
(407) 878-3208
Fax
(888) 440-5693
NPI assigned
Oct 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 ARNP9288493 FL Primary

Addresses

Primary practice location

1414 N Ronald Reagan Blvd Unit 1200
Longwood, FL 32750-3418

Mailing address

1414 N Ronald Reagan Blvd Unit 1200
Longwood, FL 32750-3418
Phone (407) 878-3208

Other practice location 1

57 Town Ct Ste 218
Palm Coast, FL 32164-2425
Phone (386) 248-9101

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
I20140819001619 FL Practitioner - Nurse Practitioner 9335366111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Total Care Medical Centers LLCGroup PAC ID 1052716875, 5 clinicians
Florida Health Care of BrevardGroup PAC ID 7911239108, 4 clinicians

Practice addresses (Care Compare)

3900 S Goldenrod Rd
Suite 142
Orlando, FL 32822-5629
Phone (407) 985-3916

57 Town CT
Suite 218
Palm Coast, FL 32164-2425
Phone (396) 248-9101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care of Brevard CurrentSince Jan 29, 2024 Accepting new patients
Total Care Medical Centers LLC CurrentSince Jun 7, 2023 Accepting new patients
Florida Medical Associates LLC PastSince Jan 21, 2021 Accepting new patients

Locations

8200 S Jog Rd
Ste 205
Boynton Beach, FL 33472
Phone (561) 364-9584

1414 N Ronald Reagan Blvd
Unit 1200
Longwood, FL 32750
Phone (407) 878-3208

3900 S Goldenrod Rd
Ste 142
Orlando, FL 32822
Phone (407) 985-3916

1840 Eldron Blvd SE
Ste 2
Palm Bay, FL 32909
Phone (561) 523-3973

57 Town Ct
Ste 218
Palm Coast, FL 32164
Phone (386) 248-9101

Organizations & group practices 4

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1316375041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N RONALD REAGAN BLVD UNIT 1200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503418",
            "telephone_number": "407-878-3208",
            "fax_number": "888-440-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N RONALD REAGAN BLVD UNIT 1200",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503418",
            "telephone_number": "407-878-3208",
            "fax_number": "888-440-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Town Ct Ste 218",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642425",
            "country_code": "US",
            "telephone_number": "386-248-9101",
            "fax_number": "386-368-8531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACH",
        "first_name": "JONATHAN",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9288493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.