Individual provider Active NPI

Priya Konda, FNP-C

  • Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1689379877
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11025509 Issued in FL
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

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001739 FL Practitioner - Nurse Practitioner 7214375930 Reassigns benefits to 3 organizations

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
MKMD Physiatry Consultants LLCGroup PAC ID 1052631082, 3 clinicians

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

LicenseStateTypeSpecialty
11025509FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MKMD Physiatry Consultants LLC CurrentSince Jul 25, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Space Coast Internal Medicine & Geriatric LLC CurrentSince Feb 3, 2026 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.