Emilie D. Balkman, MPH, RD
Individual provider Active NPI Nurse Practitioner · Atlantic Beach, FL
NPI 1508891722 · NPPES record last updated Jun 21, 2025
Key facts
- NPI
- 1508891722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN9355475 (FL)
- Practice address
- 178 Seminole Rd
Atlantic Beach, FL 32233-4141 - Phone
- (904) 304-5672
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4697 | FL | MD | Registered Dietitian |
| APRN9355475 | FL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND4697 | FL | |
| Nurse Practitioner | 363L00000X | APRN9355475 | FL | Yes |
Addresses
Primary practice location
178 Seminole Rd
Atlantic Beach, FL 32233-4141
Mailing address
178 Seminole Rd
Atlantic Beach, FL 32233-4141
Phone (904) 304-5672
Other providers in Atlantic Beach, FL
- Aura Wellness Counseling
- Angelie Dionisia Ayala
- Richard Nicholas Baiata
- Megan Baker
- Shelby Baker
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Robin M Barlow
- D'Angela Bass
All providers in Atlantic Beach, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.