Active NPI
Priya Konda, FNP-C
- Nurse Practitioner
- Cocoa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11025509
- Practice address
- 990 Palm St Ste 1
Cocoa, FL 32927-5100 - Phone
- (321) 639-4243
- Fax
- (321) 639-4266
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11025509 | FL | Primary |
Addresses
Primary practice location
990 Palm St Ste 1
Cocoa, FL 32927-5100
Mailing address
PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898
Other practice location 1
101 E Florida Ave
Melbourne, FL 32901-8398
Phone (321) 984-4600
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Florida Ave
Melbourne, FL 32901-8301
Phone (321) 984-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025509 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MKMD Physiatry Consultants LLC | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Space Coast Internal Medicine & Geriatric LLC | Current | Accepting new patients |
Locations
990 Palm St
Ste 1
Cocoa, FL 32927
Phone (321) 639-4243
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
7332 Office Park Pl
Ste 103
Viera, FL 32940
Phone (321) 327-9788
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Melbourne, FL
- NPI 1477945186
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
dba Space Coast Internal Medicine
- Internal Medicine Physician
- Cocoa, FL
- NPI 1649383720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1689379877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360878",
"telephone_number": "689-223-3898",
"fax_number": "689-223-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 PALM ST STE 1",
"city": "COCOA",
"state": "FL",
"postal_code": "329275100",
"telephone_number": "321-639-4243",
"fax_number": "321-639-4266"
}
],
"practiceLocations": [
{
"address_1": "101 E Florida Ave",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329018398",
"country_code": "US",
"telephone_number": "321-984-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONDA",
"first_name": "PRIYA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11025509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.