Individual provider Active NPI

Judith Carol Perreault, CRNA

  • Specialist
  • Panama City Beach, FL
National Provider Identifier
1033158118
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ARNP 9182205 Issued in FL
Practice address
16806 Innocente Ave
Panama City Beach, FL 32413-2318
Phone
(850) 234-1868
Fax
(850) 234-1468
NPI assigned
Jun 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ARNP 9182205 FL Primary

Addresses

Primary practice location

16806 Innocente Ave
Panama City Beach, FL 32413-2318

Mailing address

16806 Innocente Ave
Panama City Beach, FL 32413-2318
Phone (850) 234-1868

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27918FLMDDentist
ARNP 9182205FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Healthcare Partners of Laredo, P. a. Past Accepting new patients

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033158118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16806 INNOCENTE AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132318",
            "telephone_number": "850-234-1868",
            "fax_number": "850-234-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16806 INNOCENTE AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132318",
            "telephone_number": "850-234-1868",
            "fax_number": "850-234-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "JUDITH",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP 9182205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.