Individual provider Active NPI

Noelle J Emmons, APRN

  • Nurse Practitioner
  • Miramar Beach, FL
National Provider Identifier
1356903215
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002622 Issued in FL
Practice address
9375 Emerald Coast Pkwy W
Miramar Beach, FL 32550-7274
Phone
(850) 278-3940
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11002622 FL Primary

Addresses

Primary practice location

9375 Emerald Coast Pkwy W
Miramar Beach, FL 32550-7274

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

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
I20190909000047 FL Practitioner - Nurse Practitioner 3971832502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

2401 Saint Andrews Blvd
Panama City, FL 32405-2170
Phone (850) 785-2717

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Allergist of Florida LLC CurrentSince Oct 15, 2025 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

971 Airport Rd
Destin, FL 32541
Phone (850) 654-4541

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2401 Saint Andrews Blvd
Panama City, FL 32405
Phone (850) 705-2717

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

8354 N Davis Hwy
Ste 120
Pensacola, FL 32514
Phone (850) 473-1121

400 Tamiami Trl S
Ste 170
Venice, FL 34285
Phone (941) 499-0392

Interoperability endpoints

  • Direct secure messaging: noelle.emmons.1@9582.direct.athenahealth.com
  • Direct secure messaging: emmons.noelle.014.0090427@avh.meditab.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1356903215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 EMERALD COAST PKWY W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507274",
            "telephone_number": "850-278-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "NOELLE",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.