ETERI AGYEYEVA
NPI 1154712461
Nurse Practitioner - Adult Health in Ponte Vedra, FL

Q: What is Eteri Agyeyeva's NPI number?

The NPI number for Eteri Agyeyeva is 1154712461. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Q: What is Eteri Agyeyeva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Eteri Agyeyeva was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2015

351 TOWN PLAZA AVE STE 202, PONTE VEDRA, FL 32081(904) 834-3440 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eteri Agyeyeva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETERI AGYEYEVA (NPI 1154712461) is an individual adult health provider in Ponte Vedra, Florida, licensed in Florida (9426901) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1154712461

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameETERI AGYEYEVA

Location Address351 TOWN PLAZA AVE STE 202Ponte Vedra, FL 32081-5179

Mailing Address351 Town Plaza Ave Ste 202Ponte Vedra, FL 32081-5179 · (904) 834-3440

Phone(904) 834-3440

Sole ProprietorNo

Enumeration DateFebruary 9, 2015

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1154712461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 9426901

351 TOWN PLAZA AVE STE 202, Ponte Vedra, FL 32081

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eteri Agyeyeva's NPI number?

The NPI number for Eteri Agyeyeva is 1154712461. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Eteri Agyeyeva located?

Eteri Agyeyeva practices at 351 Town Plaza Ave Ste 202, Ponte Vedra, FL 32081. The listed phone number is (904) 834-3440.

What is Eteri Agyeyeva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Eteri Agyeyeva was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.