Individual provider Active NPI

Sonya Gilmore

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1992338636
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006792 Issued in FL
Practice address
203 Cloverdale Blvd
Fort Walton Beach, FL 32547-1405
Phone
(850) 862-7604
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0200X 3150532 FL
Family Nurse Practitioner 363LF0000X 11006792 FL Primary
Family Nurse Practitioner 363LF0000X AP61563104 WA

Addresses

Primary practice location

203 Cloverdale Blvd
Fort Walton Beach, FL 32547-1405

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

17707 W Main St Fl 1
Monroe, WA 98272-1967
Phone (360) 282-3885

Other practice location 2

10217 125th Street Ct E Fl 2
Puyallup, WA 98374-2761
Phone (253) 864-4550

Other practice location 3

812 Mars St
Destin, FL 32541-1823
Phone (850) 650-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210127000682 FL Practitioner - Nurse Practitioner 8628482064 Reassigns benefits to 2 organizations
I20241004001022 WA Practitioner - Nurse Practitioner 8628482064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

10217 125TH St CT E
Puyallup, WA 98374-2761
Phone (253) 864-4550

17707 W Main St
FL 1
Monroe, WA 98272-1967
Phone (360) 282-3885

1920 100TH St SE
Suite B
Everett, WA 98208-3832
Phone (425) 312-0202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3150532FLMDCritical Care Medicine Registered Nurse
11006792FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Jul 15, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jul 15, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Jan 4, 2021 Accepting new patients
Sea Mar Community Health Centers Single Specialty Current Accepting new patients
Millennium Physician Group LLC Single Specialty CurrentSince Jan 4, 2021 Accepting new patients
Coastal Wound Care Single Specialty CurrentSince May 16, 2024 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

907 Mar Walt Dr
Ste 2023
Ft Walton Bch, FL 32547
Phone (850) 613-4024

203 Cloverdale Blvd
Ft Walton Bch, FL 32547
Phone (850) 712-3779

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

10217 125th Street Ct E
Fl 2
Puyallup, WA 98374
Phone (253) 864-4550

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1992338636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CLOVERDALE BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471405",
            "telephone_number": "850-862-7604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17707 W Main St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721967",
            "country_code": "US",
            "telephone_number": "360-282-3885",
            "fax_number": "360-512-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10217 125th Street Ct E Fl 2",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742761",
            "country_code": "US",
            "telephone_number": "253-864-4550",
            "fax_number": "253-864-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Mars St",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325411823",
            "country_code": "US",
            "telephone_number": "850-650-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "SONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "3150532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006792",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61563104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.