Individual provider Active NPI

Ann Liza Dokken, FNP

  • Primary Care Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1982508792
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN9402361 Issued in FL
Practice address
736 Prestwick Dr
Niceville, FL 32578-3860
Phone
(361) 815-3655
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN9402361 FL Primary

Addresses

Primary practice location

736 Prestwick Dr
Niceville, FL 32578-3860

Mailing address

736 Prestwick Dr
Niceville, FL 32578-3860
Phone (361) 815-3655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1982508792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 PRESTWICK DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783860",
            "telephone_number": "361-815-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 PRESTWICK DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783860",
            "telephone_number": "361-815-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOKKEN",
        "first_name": "ANN",
        "middle_name": "LIZA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "RN9402361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.