Individual provider Active NPI

Soondy Renae Jegede, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1497270243
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11009986 Issued in FL
Practice address
1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159
Phone
(386) 235-0348
NPI assigned
Aug 12, 2017
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11009986 FL Primary

Addresses

Primary practice location

1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159

Mailing address

1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159
Phone (386) 235-0348

Other names 1

  • Mrs. Soondy Renae Jegede Professional name

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
I20210315000832 FL Practitioner - Nurse Practitioner 1850707068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene Resolutions LLCGroup PAC ID 6204374416, 6 clinicians

Practice addresses (Care Compare)

1616 Concierge Blvd
Suite 100
Daytona Beach, FL 32117-7159
Phone (386) 235-0348

555 W Granada Blvd
Suite A7
Ormond Beach, FL 32174-9431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009986FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Resolutions LLC CurrentSince Jul 8, 2024 Accepting new patients
Clearstone Group Psychiatric/Mental Health CurrentSince Dec 2, 2015 Accepting new patients

Locations

1616 Concierge Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 235-0348

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

555 W Granada Blvd
Ste A7
Ormond Beach, FL 32174
Phone (386) 235-0348

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1497270243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CONCIERGE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177159",
            "telephone_number": "386-235-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CONCIERGE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177159",
            "telephone_number": "386-235-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGEDE",
        "first_name": "SOONDY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOONDY",
            "last_name": "JEGEDE",
            "middle_name": "RENAE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.