Individual provider Active NPI

Rhonda D Clark, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Walton Beach, FL
National Provider Identifier
1174521413
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2598982 Issued in FL
Practice address
928 Mar Walt Dr
Suite 201
Ft Walton Beach, FL 32547-6706
Phone
(850) 862-4377
NPI assigned
Jul 11, 2005
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
Certified Registered Nurse Anesthetist 367500000X ARNP2598982 FL Primary

Addresses

Primary practice location

928 Mar Walt Dr
Suite 201
Ft Walton Beach, FL 32547-6706

Mailing address

2548 Crescent Rd
Navarre, FL 32566
Phone (850) 939-6126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000204 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375525124 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nereus AnesthesiaGroup PAC ID 8123483989, 10 clinicians

Practice addresses (Care Compare)

5111 N 12TH Ave
Pensacola, FL 32504-8918
Phone (850) 291-7641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Gulf Coast Anesthesia, LLC CurrentSince Apr 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2016 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jan 18, 2016 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Nereus Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2023 Accepting new patients
Santa Rosa Anesthesia Associates, PA Past Accepting new patients
Northwest Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Fort Walton Beach Anesthesia LLC Past Accepting new patients
Northwest Florida Multispecialty Physicians LLC Past Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients

Locations

930 Mar Walt Dr
Ste C
Fort Walton Beach, FL 32547
Phone (850) 244-0406

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

2110 W 23rd St
Ste Ac
Panama City, FL 32405

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641

9400 University Pkwy
Ste 102
Pensacola, FL 32514
Phone (850) 208-6120

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 12

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174521413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 CRESCENT RD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-6126",
            "fax_number": "850-939-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MAR WALT DR",
            "address_2": "SUITE 201",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-862-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RHONDA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2598982",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.