Ec Advanced Practice Nursing PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EC ADVANCED PRACTICE NURSING PLLC

Doing business as

Realm Midlife & Menopause Medicine

Practice address

25 Walter Martin Rd NE Ste 201
Fort Walton Beach, FL 32548-4958

Phone

(850) 809-8062

NPI assigned

May 23, 2026

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Puett, FNP-CNPI 1790566008

Title

Owner

Phone

(850) 240-7145

Specialties & licenses 1

Addresses

Other names 1

• Realm Midlife & Menopause Medicine Doing business as

Locations

Practitioners 1

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.

• Amanda Jo Puett, APRN

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1790566008
  NPD Authorized official

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1275463879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WALTER MARTIN RD NE STE 201",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484958",
            "telephone_number": "850-809-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WALTER MARTIN RD NE STE 201",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484958",
            "telephone_number": "850-809-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC ADVANCED PRACTICE NURSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PUETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-240-7145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realm Midlife & Menopause Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Pain & Wellness LLC
• Dynamic Pain and Wellness Physical Therapy, LLC
• Dawn Ellen Dziokonski, RN, NCSN
• Toree Easterwood
• Christina Eberle, OT
• Ec Therapeutic Services LLC (EC Therapy)
• Eddie a. Negron, M.D., P.a.
• George D. Edlund,, O.D., P.A.
• Amanda Edwards
• Eleanor a. McCain, M. D., P. a.

• Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.