Individual provider Active NPI

Maudie Elizabeth Arnold

  • Physician Assistant
  • Gulf Breeze, FL
National Provider Identifier
1083439467
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121613 Issued in FL
Practice address
1200 Gulf Breeze Pkwy Ste a
Gulf Breeze, FL 32561-4851
Phone
(800) 243-7546
Fax
(850) 484-8223
NPI assigned
Nov 20, 2024
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121613 FL Primary

Addresses

Primary practice location

1200 Gulf Breeze Pkwy Ste a
Gulf Breeze, FL 32561-4851

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

530 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

Other practice location 2

121 Baptist Way Ste 2200
Pensacola, FL 32503-2263
Phone (850) 474-4775

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

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1083439467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GULF BREEZE PKWY STE A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614851",
            "telephone_number": "800-243-7546",
            "fax_number": "850-484-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032019",
            "country_code": "US",
            "telephone_number": "800-243-7546",
            "fax_number": "850-484-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Baptist Way Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032263",
            "country_code": "US",
            "telephone_number": "850-474-4775",
            "fax_number": "850-912-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MAUDIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.