Individual provider Active NPI

Kimberly Ret, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1871030841
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9391797 Issued in FL
Practice address
1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255
Phone
(850) 343-5602
Fax
(850) 979-8754
NPI assigned
Jan 27, 2017
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9391797 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN9391797 FL

Addresses

Primary practice location

1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255

Mailing address

1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255
Phone (850) 343-5602

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
I20170428001301 FL Practitioner - Nurse Practitioner 4284911264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Center IncGroup PAC ID 3375439904, 43 clinicians

Practice addresses (Care Compare)

1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 908-3907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9391797FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Center Inc CurrentSince Jan 30, 2023 Accepting new patients
Bluewater Primary Care, Inc Primary Care CurrentSince Dec 14, 2024 Accepting new patients
Bluewater Behavioral Health Inc Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

907 Mar Walt Dr
Ste 2013
Fort Walton Beach, FL 32547
Phone (850) 797-2598

4400 E Highway 20
Ste 306
Niceville, FL 32578
Phone (850) 797-2598

4400 E Highway 20
Ste 313
Niceville, FL 32578
Phone (575) 520-1230

1221 W Lakeview Ave
Pensacola, FL 32501
Phone (850) 469-3500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1871030841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1171",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-343-5602",
            "fax_number": "850-979-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 LEWIS TURNER BLVD STE 1171",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-343-5602",
            "fax_number": "850-979-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RET",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9391797",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9391797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.