Emily Lee Paulson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

225 Sweetwater Run
Niceville, FL 32578-1637

Phone

(850) 803-3096

NPI assigned

Jan 20, 2023

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1336854611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ACKLINS CIR APT 302",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321199764",
            "telephone_number": "850-803-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SWEETWATER RUN",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781637",
            "telephone_number": "850-803-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "EMILY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL7196",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partin Place Operations, LLC (Partin Place Senior Living)
• Kaitlyn Partin
• Pat T. Tidwell MD PA
• Angela Pate, PHARM D
• Regina A Patton, PT
• Janet L Paulus, SOCIAL WORKER
• Elaine Peacock
• Jennifer Peacock
• William F. Pearson, MD
• Patty Pelen

• Athletic Trainer in Niceville, FL
• Providers in Niceville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.