Active NPI
Christian Nathaniel Meade, DNP
- Nurse Practitioner
- St Augustine, FL
National Provider Identifier
1508308859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9368910
- Practice address
- 3955 Lewis Speedway
St Augustine, FL 32084-8611 - Phone
- (904) 209-1579
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024174304 | VA | |
| Nurse Practitioner | 363L00000X | 28495 | TN | |
| Nurse Practitioner | 363L00000X | ARNP9368910 | FL | Primary |
Addresses
Primary practice location
3955 Lewis Speedway
St Augustine, FL 32084-8611
Mailing address
349 Sweet Oak Way
St Augustine, FL 32095-8999
Phone (276) 275-9644
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174304 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1508308859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 SWEET OAK WAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958999",
"telephone_number": "276-275-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 LEWIS SPEEDWAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320848611",
"telephone_number": "904-209-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "CHRISTIAN",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-16",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024174304",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "28495",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9368910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.