Individual provider Active NPI

Keyana L Hobdy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1417788654
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11034847 Issued in FL
Practice address
2050 W County Highway 30a Ste M1-214
Santa Rosa Beach, FL 32459-0187
Phone
(850) 687-0887
NPI assigned
Aug 9, 2024
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11034847 FL Primary

Addresses

Primary practice location

2050 W County Highway 30a Ste M1-214
Santa Rosa Beach, FL 32459-0187

Mailing address

8309 Molina St
Navarre, FL 32566-9345
Phone (615) 495-8618

Other practice location 1

243 Hollywood Blvd NW
Fort Walton Beach, FL 32548-4725
Phone (850) 687-0887

Other practice location 2

3906 US Highway 98 W # 1522
Santa Rosa Beach, FL 32459-4026
Phone (850) 687-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PMH08240070FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Psychiatry LLC Psychiatric/Mental Health CurrentSince Jul 3, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1417788654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 MOLINA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669345",
            "telephone_number": "615-495-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A STE M1-214",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-687-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Hollywood Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325484725",
            "country_code": "US",
            "telephone_number": "850-687-0887",
            "fax_number": "850-687-0978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3906 US Highway 98 W # 1522",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324594026",
            "country_code": "US",
            "telephone_number": "850-687-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBDY",
        "first_name": "KEYANA",
        "middle_name": "L",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11034847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.