Emerald Coast Sleep Diagnostics

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

Legal business name

EMERALD COAST SLEEP DIAGNOSTICS

Practice address

620 McKenzie Ave
Panama City, FL 32401-3062

Phone

(850) 518-7378

Fax

(850) 640-4187

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Amber McKenzie, ARNPNPI 1528433117

Title

Authorized Official

Phone

(850) 866-9990

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Emerald Coast Sleep Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Emerald Coast Sleep Diagnostics

  • Sleep Medicine (Otolaryngology) Physician
  • Panama City, FL
  • NPI 1649806027
  NPD tax ID

Practitioners 2

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.

• Amber McKenzie, ARNP

  • Adult Health Nurse Practitioner
  • Panama City, FL
  • NPI 1528433117
  NPD Authorized official
• Fred Anthony McLeod, M. D.

  • Specialist
  • Alexander City, AL
  • NPI 1356305940

  Sleep Medicine

  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1912529116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MCKENZIE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013062",
            "telephone_number": "850-518-7378",
            "fax_number": "850-640-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MCKENZIE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013062",
            "telephone_number": "850-518-7378",
            "fax_number": "850-640-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "850-866-9990",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106159700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Obstetrics & Gynecology, P.a.
• Emerald Coast Orthopedics PLLC
• Emerald Coast Pediatrics & Adolescents
• Emerald Coast Regen, PA
• Emerald Coast Sleep Diagnostics
• Emerald Coast Ventures Inc (The Good Feet Store)
• Emerald Isle Pulmonary Medicine Inc
• Emerald Waters Inpatient Services LLC
• Jacqueline Emond, LMHC CSOTS
• Empowerher Health Physical Therapy, LLC

• Otolaryngology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.