Carmen Alston

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9486121 Issued in FL

Practice address

930 Mar Walt Dr C
Fort Walton Beach, FL 32547

Phone

(850) 226-6801

NPI assigned

Feb 2, 2018

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen.alston@2498.securemail.prognocis.com

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.

• Dynamic Pain & Wellness LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1285007989
  Medicare reassignment Care Compare group NPD
• Dynamic Pain & Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dothan, AL
  • NPI 1588288641
  NPD
• Dynamic Chiro & PT LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1144098724
  NPD (past)
• Dynamic Pain & Wellness LLC

  dba Dynamic Pain & Wellness, PLLC

  • Interventional Pain Medicine Physician
  • Panama City, FL
  • NPI 1689184178
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1497254791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAR WALT DR",
            "address_2": "C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-226-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAR WALT DR C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-226-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9486121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Seasons Allergy and Asthma Center, P.a.
• Christina Rachel Allaire
• Logan Chadwick Allen, REGISTERED NURSE
• Marla J Allen
• Theresa D Allen, RN
• Lisa Alvey, RMHI
• American Homepatient, Inc.
• American Senior Living of Fort Walton Beach FL LLC (Westwood Health Care Center)
• Robert Keith Amiel, OD
• Michelle Ammon, M.ED., BCBA

• Family Nurse Practitioner in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.