Individual provider Active NPI

Sveta Neel Faldu, NP

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1720598345
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9446553 Issued in FL
Practice address
8247 Devereux Dr Ste 102
Melbourne, FL 32940-8227
Phone
(321) 610-4960
NPI assigned
Oct 10, 2017
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 084708 CT
Nurse Practitioner 363L00000X 006361 CT
Nurse Practitioner 363L00000X ARNP9446553 FL Primary

Addresses

Primary practice location

8247 Devereux Dr Ste 102
Melbourne, FL 32940-8227

Mailing address

8247 Devereux Dr Ste 102
Melbourne, FL 32940-8227
Phone (321) 610-4960

Other practice location 1

8048 Quimby Ct
Melbourne, FL 32940-6868
Phone (860) 371-5210

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
084708CTMDRegistered Nurse
006361CTMDNurse Practitioner
ARNP9446553FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Internal Medicine and Associates Inc CurrentSince Sep 27, 2020 Accepting new patients

Locations

8247 Devereux Dr
Ste 102
Viera, FL 32940
Phone (321) 610-4960

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1720598345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 DEVEREUX DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408227",
            "telephone_number": "321-610-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8247 DEVEREUX DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408227",
            "telephone_number": "321-610-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8048 Quimby Ct",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329406868",
            "country_code": "US",
            "telephone_number": "860-371-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALDU",
        "first_name": "SVETA",
        "middle_name": "NEEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "084708",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "006361",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9446553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.