Individual provider Active NPI

Julie Devine, NP-C

  • Family Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1679933907
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9427451 Issued in FL
Practice address
1001 College Blvd W
Suite H
Niceville, FL 32578-1099
Phone
(850) 279-4417
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9427451 FL Primary

Addresses

Primary practice location

1001 College Blvd W
Suite H
Niceville, FL 32578-1099

Mailing address

1263 Smithfield Rd E
Mobile, AL 36695-3513
Phone (918) 510-5072

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170324001867 FL Practitioner - Nurse Practitioner 9335424860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9427451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Consultants of West Florida CurrentSince Apr 11, 2021 Accepting new patients
Coastal Anesthesia, P a CurrentSince Apr 29, 2017 Accepting new patients

Locations

1001 College Blvd W
Ste H
Niceville, FL 32578
Phone (850) 279-4417

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

4624 N Davis Hwy
Pensacola, FL 32503
Phone 85049400002014

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1679933907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 SMITHFIELD RD E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953513",
            "telephone_number": "918-510-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "SUITE H",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-279-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9427451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.