Active NPI
Deborah Lynn Gilmore, ARNP
- Adult Health Nurse Practitioner
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9213456
- Practice address
- 1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796 - Phone
- (850) 243-0118
- Fax
- (850) 243-0594
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9213456 | FL | Primary |
Addresses
Primary practice location
1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796
Mailing address
1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6796
Phone (850) 243-0118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010771700 | Medicaid | FL | |
| Y0L8F | Other | FL | BCBSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| White-Wilson Medical Center PA | Current | Accepting new patients |
Locations
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
310 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 362-7330
1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1104248251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"address_2": "PULMONOLOGY DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476796",
"telephone_number": "850-243-0118",
"fax_number": "850-243-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"address_2": "PULMONOLOGY DEPARTMENT",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476796",
"telephone_number": "850-243-0118",
"fax_number": "850-243-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9213456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010771700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "Y0L8F",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.