Active NPI
Jaime Leigh Ndandu, FNP
- Internal Medicine Physician
- Palatka, FL
National Provider Identifier
1548769946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11028802
- Practice address
- 700 Zeagler Dr Ste 100
Palatka, FL 32177-6806 - Phone
- (386) 546-3804
- NPI assigned
- Feb 12, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11028802 | FL | Primary |
Addresses
Primary practice location
700 Zeagler Dr Ste 100
Palatka, FL 32177-6806
Mailing address
735 Charmwood Dr
St Augustine, FL 32086-5090
Phone (504) 232-0879
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 |
|---|---|---|---|
| 11028802 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1548769946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 CHARMWOOD DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865090",
"telephone_number": "504-232-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR STE 100",
"city": "PALATKA",
"state": "FL",
"postal_code": "321776806",
"telephone_number": "386-546-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDANDU",
"first_name": "JAIME",
"middle_name": "LEIGH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "11028802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
- Christin Navay Louise Murillo, CD-LD, HCHD, CD-VBAC
- Moses Muzquiz III, M.D.
- Jacqueline Eleanor Myers, LCSW
- Melissa Myers, PTA
- Omer Nasiroglu, M.D.
- NE Florida Anesthesia Associates PA
- Jesus Ramon Negron Giusti, MD
- Neurological Associates of North Florida PA
- Claudia NG, LMHC
- Sherrome Shantelle Nichols, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.