Organization Active NPI

Emerald Coast Pediatric Sleep Consultants, LLC

  • Pediatric Nurse Practitioner
  • Gulf Breeze, FL
National Provider Identifier
1396135117
Registry record updated Feb 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9173217 Issued in FL
Legal business name
EMERALD COAST PEDIATRIC SLEEP CONSULTANTS, LLC
Practice address
400 Gulf Breeze Pkwy
Suite 204
Gulf Breeze, FL 32561-4495
Phone
(850) 932-3830
Fax
(850) 932-3839
NPI assigned
Feb 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2015

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

Authorized official

Name
Ms. Sonia Artrice Smith, ARNP
Title
Nurse Practitioner Owner
Phone
(850) 932-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X ARNP9173217 FL Primary

Addresses

Primary practice location

400 Gulf Breeze Pkwy
Suite 204
Gulf Breeze, FL 32561-4495

Mailing address

400 Gulf Breeze Pkwy
Suite 204
Gulf Breeze, FL 32561-4495
Phone (850) 932-3830

National Provider Directory

National Provider Directory

Locations

400 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 932-3830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422748800000",
    "number": "1396135117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY",
            "address_2": "SUITE 204",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614495",
            "telephone_number": "850-932-3830",
            "fax_number": "850-932-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY",
            "address_2": "SUITE 204",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614495",
            "telephone_number": "850-932-3830",
            "fax_number": "850-932-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PEDIATRIC SLEEP CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "ARTRICE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "850-932-3830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9173217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.