12TH AVENUE HEALTHCARE, INC
NPI 1003528258
Nurse Practitioner - Family in Pensacola, FL

Active since December 20, 2022
1101 OFFICE WOODS DR, PENSACOLA, FL 32504(850) 776-7872(850) 474-9060 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 12th Avenue Healthcare, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

12TH AVENUE HEALTHCARE, INC (NPI 1003528258) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since December 2022. The organization lists Emily Stinnett, President, as its authorized official.

NPPES Registry Identity

NPI1003528258
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business Name12TH AVENUE HEALTHCARE, INC
Location Address1101 OFFICE WOODS DRPensacola, FL 32504-5937
Mailing Address9735 N Palafox StPensacola, FL 32534-1224 · (850) 776-7872 · Fax (850) 474-9060
Fax(850) 474-9060
Organization SubpartNo
Authorized OfficialEmily StinnettPresident · (850) 776-7872
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
NPI 1003528258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1101 OFFICE WOODS DR, Pensacola, FL 32504

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Physical Medicine & Rehabilitation
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Physical Medicine & Rehabilitation
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Hospitalist
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Internal Medicine (Infectious Disease)
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Physical Medicine & Rehabilitation
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Physical Medicine & Rehabilitation
1101 OFFICE WOODS DR
PENSACOLA, FL 32504
Physical Medicine & Rehabilitation
1101 OFFICE WOODS DR
PENSACOLA, FL 32504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 12th Avenue Healthcare, Inc's NPI number?

The NPI number for 12th Avenue Healthcare, Inc is 1003528258. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is 12th Avenue Healthcare, Inc located?

12th Avenue Healthcare, Inc is located at 1101 Office Woods Dr, Pensacola, FL 32504. The listed phone number is (850) 776-7872.

What is 12th Avenue Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for 12th Avenue Healthcare, Inc was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.