Emilia Banse Pmhnp-BC PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMILIA BANSE PMHNP-BC PLLC

Practice address

120 Golden Eagle CT
Santa Rosa Beach, FL 32459-8344

Phone

(202) 876-8787

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Emilia M Banse, PMHNP-BC

Title

Nurse Practitioner/Owner

Phone

(202) 876-8787

Specialties & licenses 1

Addresses

Other names 1

• Emilia Banse Doing business as

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1164044004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GOLDEN EAGLE CT",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598344",
            "telephone_number": "202-876-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GOLDEN EAGLE CT",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598344",
            "telephone_number": "202-876-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIA BANSE PMHNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "BANSE",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "202-876-8787",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emilia Banse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.