Individual provider Active NPI

Erica Desouza-Fite

  • Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1992512982
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06251179 Issued in FL
Practice address
907 Mar Walt Dr Ste 2023
Fort Walton Beach, FL 32547-6756
Phone
(850) 613-4024
NPI assigned
Dec 13, 2024
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06251179 FL Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2023
Fort Walton Beach, FL 32547-6756

Mailing address

702 Melanie LN
Fort Walton Beach, FL 32547-1318
Phone (561) 371-8824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251002002204 FL Practitioner - Nurse Practitioner 4981100591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carelink Primary CareGroup PAC ID 2466954599, 8 clinicians
Coastal Wound CareGroup PAC ID 6507232881, 5 clinicians

Practice addresses (Care Compare)

907 Mar Walt Dr
Suite 2023
Fort Walton Beach, FL 32547-6756
Phone (850) 613-4024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06251179FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wound Care CurrentSince Sep 15, 2025 Accepting new patients
Carelink Primary Care CurrentSince Sep 12, 2025 Accepting new patients
Island City Urgent Care PA Nurse Practitioner PastSince Dec 1, 2024 Accepting new patients
Island City Urgent Care PA PastSince Sep 28, 2025 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: erica.desouza-fite@1103023968419844.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1992512982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MELANIE LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471318",
            "telephone_number": "561-371-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2023",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476756",
            "telephone_number": "850-613-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA-FITE",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F06251179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.