Individual provider Active NPI

Allyson Lee Henry, ARNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1346087541
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033728 Issued in FL
Practice address
57 S Coyle St
Pensacola, FL 32502-5505
Phone
(850) 619-2926
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033728 FL Primary

Addresses

Primary practice location

57 S Coyle St
Pensacola, FL 32502-5505

Mailing address

1118 Seabreeze LN
Gulf Breeze, FL 32563-3340
Phone (440) 477-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250802000330 FL Practitioner - Nurse Practitioner 2769623883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

41 Fairpoint Dr
Suite B
Gulf Breeze, FL 32561-4380
Phone (212) 803-3339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033728FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Care PC Family CurrentSince Aug 1, 2025 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 202
Boca Raton, FL 33428
Phone (212) 809-3339

41 Fairpoint Dr
Ste B
Gulf Breeze, FL 32561
Phone (850) 733-3636

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1346087541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SEABREEZE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633340",
            "telephone_number": "440-477-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S COYLE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025505",
            "telephone_number": "850-619-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ALLYSON",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.