Individual provider Active NPI

Meagan Behrman

  • Pediatric Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1407591100
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11038823 Issued in FL
Practice address
1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Phone
(904) 264-1958
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 891548 TX
Pediatric Nurse Practitioner 363LP0200X APRN11038823 FL Primary

Addresses

Primary practice location

1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816

Mailing address

1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Phone (210) 260-3993

Other names 1

  • Meagan Behrman Other name

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
891548TXMDRegistered Nurse
APRN11038823FLMDPediatric Nurse Practitioner

Practice roles

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

Interoperability endpoints

  • Direct secure messaging: meagan.behrman.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1407591100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 EAGLE HARBOR PKWY STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034816",
            "telephone_number": "210-260-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 EAGLE HARBOR PKWY STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034816",
            "telephone_number": "904-264-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRMAN",
        "first_name": "MEAGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "891548",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11038823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "BEHRMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.