Individual provider Active NPI

Kinley Wayne Howard, DPM, MD, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1629049408
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2539562 Issued in FL
Practice address
8550 Scenic Hwy Apt G
Pensacola, FL 32514-7921
Phone
(850) 912-6559
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2112 FL
Nurse Practitioner 363L00000X ARNP2539562 FL
Certified Registered Nurse Anesthetist 367500000X ARNP2539562 FL Primary

Addresses

Primary practice location

8550 Scenic Hwy Apt G
Pensacola, FL 32514-7921

Mailing address

8550 Scenic Hwy Apt G
Pensacola, FL 32514-7921
Phone (850) 912-6559

Other practice location 1

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-2121

Other identifiers 4

IdentifierTypeStateIssuer
340655500MedicaidFL
G00EEOtherFLBCBS FLORIDA
10729640OtherFLCAQH
307772100MedicaidFL

Other names 1

  • Dr. K W Howard Professional name

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
PO2112FLMDFoot & Ankle Surgery Podiatrist
ARNP2539562FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Specialists PA Foot & Ankle Surgery CurrentSince Dec 23, 2008 Accepting new patients
Tri County Professional Management, Inc Past Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. PastSince May 1, 2015 Accepting new patients

Locations

1229 Airport Rd
Panama City, FL 32405
Phone (850) 215-6770

Organizations & group practices 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629049408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SCENIC HWY APT G",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147921",
            "telephone_number": "850-912-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SCENIC HWY APT G",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147921",
            "telephone_number": "850-912-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146050",
            "country_code": "US",
            "telephone_number": "850-969-2121",
            "fax_number": "850-969-2958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KINLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM,  MD, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2539562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2539562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340655500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "G00EE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10729640",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307772100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "HOWARD",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "DPM, MD, CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.