Individual provider Active NPI

Brittany Justice, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1457085813
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11020703 Issued in FL
Practice address
8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone
(850) 260-9779
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 11020703 FL Primary

Addresses

Primary practice location

8383 N Davis Hwy
Pensacola, FL 32514-6039

Mailing address

11294 Tall Timbers LN
Elberta, AL 36530-4418
Phone (850) 260-9779

Other practice location 1

11294 Tall Timbers Ln
Elberta, AL 36530-4418
Phone (850) 260-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230412000824 FL Practitioner - Nurse Practitioner 6305211038 Reassigns benefits to 1 organization
I20230911001071 AL Practitioner - Nurse Practitioner 6305211038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

1924 K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 308-9800

5111 N 12TH Ave
Pensacola, FL 32504-8918
Phone (850) 226-6801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020703FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiro & PT LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittany.justice@2498.securemail.prognocis.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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1457085813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11294 TALL TIMBERS LN",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365304418",
            "telephone_number": "850-260-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146039",
            "telephone_number": "850-260-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11294 Tall Timbers Ln",
            "address_purpose": "LOCATION",
            "city": "Elberta",
            "state": "AL",
            "postal_code": "365304418",
            "country_code": "US",
            "telephone_number": "850-260-9779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.