Individual provider Active NPI

Jordan Colombini

  • Psychiatric/Mental Health Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1699684860
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11050673 Issued in FL
Practice address
1353 N Courtenay Pkwy Ste L
Merritt Island, FL 32953-4463
Phone
(321) 978-5122
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11050673 FL Primary

Addresses

Primary practice location

1353 N Courtenay Pkwy Ste L
Merritt Island, FL 32953-4463

Mailing address

1353 N Courtenay Pkwy Ste L
Merritt Island, FL 32953-4463
Phone (321) 978-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1699684860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N COURTENAY PKWY STE L",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534463",
            "telephone_number": "321-978-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N COURTENAY PKWY STE L",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534463",
            "telephone_number": "321-978-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBINI",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11050673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.