Individual provider Active NPI

Ana E Leurinda, M.D.

  • Family Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1437126273
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73594 Issued in FL
Practice address
348 Miracle Strip Pkwy SW
Ste 23
Fort Walton Beach, FL 32548-5200
Phone
(850) 269-2186
Fax
(850) 269-2341
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME73594 FL Primary

Addresses

Primary practice location

348 Miracle Strip Pkwy SW
Ste 23
Fort Walton Beach, FL 32548-5200

Mailing address

PO Box 1646
Destin, FL 32540-1646
Phone (850) 269-2186

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73594FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Allen LLC Past Accepting new patients
White-Wilson Medical Center PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ana.leurinda.2@20976.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1437126273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325401646",
            "telephone_number": "850-269-2186",
            "fax_number": "850-269-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW",
            "address_2": "STE 23",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485200",
            "telephone_number": "850-269-2186",
            "fax_number": "850-269-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEURINDA",
        "first_name": "ANA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.