Active NPI
Tracey R Burton Lindner MD PA Dba
Doing business as Pediatrics Of Okaloosa
- Pediatrics Physician
- Niceville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0060775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracey R Burton-Lindner, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jo@pediatricsofokaloosa.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0678099 | Pediatrics of Okaloosa | Certificate of waiver | Jul 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Niceville, FL
- NPI 1831169838
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.