Active NPI
Soondy Renae Jegede, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11009986
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11009986 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Resolutions LLC | Current | Accepting new patients | |
| Clearstone Group | Psychiatric/Mental Health | Current | 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.
-
- Psychiatry Physician
- Daytona Beach, FL
- NPI 1063240117
-
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
- NPI 1952777856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.