Emerald Shores Rheumatology Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME107420 Issued in FL

Legal business name

EMERALD SHORES RHEUMATOLOGY INC

Practice address

1290 Whisper Bay Blvd
Gulf Breeze, FL 32563-2677

Phone

(850) 684-3445

Fax

(850) 684-3446

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Williams Brown, M.D.NPI 1629265012

Title

Owner/Physician

Phone

(850) 684-3445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Williams Brown, M.D.

  • Rheumatology Physician
  • Gulf Breeze, FL
  • NPI 1629265012
  Medicare reassignment NPD Authorized official
• Jennifer Lauren Blanks, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gulf Breeze, FL
  • NPI 1518634302
  NPD

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1710375670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632677",
            "telephone_number": "850-684-3445",
            "fax_number": "850-684-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632677",
            "telephone_number": "850-684-3445",
            "fax_number": "850-684-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SHORES RHEUMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "850-684-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME107420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Ellis, LCSW
• Emerald Breeze Counseling LLC
• Emerald Coast Behavior Inc
• Emerald Coast Care System, LLC
• Emerald Coast Pediatric Sleep Consultants, LLC
• Empower Professional Counseling Services, LLC
• Endoscopy Center of Gulf Breeze LLC
• Ennoble HC FL LLC
• Kristina Leigh Anne Estis, ATC, NREMT-P
• Jimmy D Eubanks Jr., R.PH.

• Rheumatology Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.