NPIMap

Organization Active NPI

Diana Health FL P.a.

  • Obstetrics & Gynecology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1194591966
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DIANA HEALTH FL P.A.
Practice address
1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547
Phone
(850) 243-2229
NPI assigned
Dec 1, 2023
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Caitlin Eisenbarth
Title
Payer Relations
Phone
(850) 243-2229

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547

Mailing address

178 Columbus Ave
#237190 SMB#33783
New York, NY 10023

Other practice location 1

3627 University Blvd S Ste 200
Jacksonville, FL 32216-4256
Phone (904) 296-3200

Other practice location 2

2770 Capital Medical Blvd Ste 220
Tallahassee, FL 32308-8417
Phone (850) 391-3880

Other practice location 3

1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225
Phone (386) 456-3852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240819002808 FL Part B Supplier - Clinic/Group Practice 5092253245 Receives reassigned benefits from 81 practitioners
Practice locations: Tallahassee, FL; Orange City, FL; Fort Walton Beach, FL; Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1050081Diana Health FL, PA1046 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547Certificate of waiverJan 24, 2028
10D2316649Diana Health FL PA1061 Medical Center Drive Suite 102, Orange City, FL 32763Certificate of waiverMar 11, 2027
10D2330915Diana Health FL PA3627 University Blvd S, Suite 200, Jacksonville, FL 32216Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

2056 Centre Pointe Ln
Ste A
Tallahassee, FL 32308
Phone (850) 391-3880

2770 Capital Medical Blvd
Ste 220
Tallahassee, FL 32308
Phone (850) 391-3880

178 Columbus Ave
Unit 237190
New York, NY 10023
Phone (347) 941-0030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1194591966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COLUMBUS AVE",
            "address_2": "#237190 SMB#33783",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MAR WALT DR",
            "address_2": "SUITE 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-243-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3627 University Blvd S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164256",
            "country_code": "US",
            "telephone_number": "904-296-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2770 Capital Medical Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323088417",
            "country_code": "US",
            "telephone_number": "850-391-3880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Medical Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638225",
            "country_code": "US",
            "telephone_number": "386-456-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANA HEALTH FL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "EISENBARTH",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "PAYER RELATIONS",
        "authorized_official_telephone_number": "850-243-2229"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 24, 2025; 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.