Seonghee Jeong, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012494 Issued in FL

Practice address

171 Bradwick Cir
Debary, FL 32713-2125

Phone

(201) 681-3423

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  Medicare reassignment Care Compare group NPD
• Longevity Accountable Care, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Royal Palm Beach, FL
  • NPI 1801644711
  Medicare reassignment NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1902565526
  NPD
• Longevity Accountable Care, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Salisbury, NC
  • NPI 1396584454
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1699354183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BRADWICK CIR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132125",
            "telephone_number": "201-681-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 BRADWICK CIR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132125",
            "telephone_number": "201-681-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "SEONGHEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.T. Partners Inc
• Shonte V Jacobs
• Melissa Janello
• Jay Ananthan-Nair, OD, PA
• Jazz'N Day Spa
• Jose Humberto Jimenez - Almonte
• John J Susan Lpta LLC
• David Lee Johns, LMHC
• Keith Armando Jones
• Joseph V Calderone Jr DMD PA

• Family Nurse Practitioner in Debary, FL
• Providers in Debary, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.

Verify at the official NPI Registry.