Organization Active NPI

Tracey R Burton Lindner MD PA Dba

Doing business as Pediatrics Of Okaloosa

  • Pediatrics Physician
  • Niceville, FL
National Provider Identifier
1982696589
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0060775 Issued in FL
Legal business name
TRACEY R BURTON LINDNER MD PA DBA
Doing business as
Pediatrics Of Okaloosa
Practice address
1001 College Blvd W
Suite C
Niceville, FL 32578-1099
Phone
(850) 678-9009
Fax
(850) 678-3444
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Tracey R Burton-Lindner, MDNPI 1831169838
Title
Owner/President
Phone
(850) 678-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0060775 FL Primary

Addresses

Primary practice location

1001 College Blvd W
Suite C
Niceville, FL 32578-1099

Mailing address

1001 College Blvd W
Suite C
Niceville, FL 32578-1099
Phone (850) 678-9009

Other names 1

  • Pediatrics Of Okaloosa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jo@pediatricsofokaloosa.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0678099Pediatrics of Okaloosa1001 W College Blvd Ste C, Niceville, FL 32578Certificate of waiverJul 26, 2026

National Provider Directory

National Provider Directory

Locations

1001 College Blvd W
Ste C
Niceville, FL 32578
Phone (850) 678-9009

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1982696589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-678-9009",
            "fax_number": "850-678-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781099",
            "telephone_number": "850-678-9009",
            "fax_number": "850-678-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY R BURTON LINDNER MD PA DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "BURTON-LINDNER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-678-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0060775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jo@pediatricsofokaloosa.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 College Blvd W",
            "address_2": "Suite C",
            "city": "Niceville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325781099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatrics Of Okaloosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.