Individual provider Active NPI

Olivia G Windham, DC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1073487369
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15527 Issued in FL
Practice address
7175 N Davis Hwy Ste H
Pensacola, FL 32504-6288
Phone
(850) 602-9948
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15527 FL Primary

Addresses

Primary practice location

7175 N Davis Hwy Ste H
Pensacola, FL 32504-6288

Mailing address

815 Via de Luna Dr
Gulf Breeze, FL 32561-2259
Phone (701) 818-8220

Other practice location 1

4795 US-90 E
Pace, FL 32571
Phone (850) 905-0515

Other practice location 2

99 Eglin Pkwy NE Ste 37
Fort Walton Beach, FL 32548-4285
Phone (850) 994-5000

Other names 1

  • Olivia Grace Kudrna Former name

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

State licenses

LicenseStateTypeSpecialty
15527FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1073487369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 VIA DE LUNA DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325612259",
            "telephone_number": "701-818-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 N DAVIS HWY STE H",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046288",
            "telephone_number": "850-602-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 US-90 E",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "32571",
            "country_code": "US",
            "telephone_number": "850-905-0515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Eglin Pkwy NE Ste 37",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325484285",
            "country_code": "US",
            "telephone_number": "850-994-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "OLIVIA",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "KUDRNA",
            "middle_name": "GRACE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.