Organization Active NPI

Allergy & Asthma Center of Northwest Florida PA

  • Allergy & Immunology Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1861271819
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA
Practice address
2441 US Highway 98 W Ste 103
Santa Rosa Beach, FL 32459-5386
Phone
(805) 473-1121
Fax
(850) 473-1122
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Lily Flynn
Title
RCM Business Partner
Phone
(469) 209-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

2441 US Highway 98 W Ste 103
Santa Rosa Beach, FL 32459-5386

Mailing address

6160 N Davis Hwy Ste 3
Pensacola, FL 32504-6967

National Provider Directory

National Provider Directory
Tax ID family
Allergy Asthma Center of N4 organizations share this tax ID, including this one
Part of
Allergy Asthma Center of N

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1861271819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY STE 3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W STE 103",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595386",
            "telephone_number": "805-473-1121",
            "fax_number": "850-473-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA PA",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "RCM BUSINESS PARTNER",
        "authorized_official_telephone_number": "469-209-8355"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.