ELAINE PEACOCK
NPI 1053709451
Nurse Practitioner - Family in Niceville, FL

Q: What is Elaine Peacock's NPI number?

The NPI number for Elaine Peacock is 1053709451. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Q: What is Elaine Peacock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elaine Peacock was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 07, 2015

4562 E HIGHWAY 20, NICEVILLE, FL 32578(850) 897-8550 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elaine Peacock NPPES

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

ELAINE PEACOCK (NPI 1053709451) is an individual family provider in Niceville, Florida, licensed in Florida (ARNP9455285) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1053709451

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELAINE PEACOCK

Location Address4562 E HIGHWAY 20Niceville, FL 32578-8831

Mailing Address4562 E Highway 20Niceville, FL 32578-8831

Phone(850) 897-8550

Sole ProprietorNo

Enumeration DateJanuary 7, 2015

Last NPPES UpdateApril 10, 2017

✔ NPI 1053709451 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

Licenses✔ Licensed in FL · ARNP9455285✔ Licensed in NM · 02282

4562 E HIGHWAY 20, Niceville, FL 32578

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Other Identifiers 3

OtherNPI & TINNM · Bcbs Of Nm

Medicaid21528365NM

Medicare PIN393068YTYCNM

Other Providers at the Same Location NPPES 3

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

MELODIE A WOLF ARNP

Nurse Practitioner (Family)

4562 E HIGHWAY 20
NICEVILLE, FL 32578

Okaloosa County (850) 897-8550

HOLIDAY CVS LLC

Pharmacy

4562 E HIGHWAY 20
NICEVILLE, FL 32578

Okaloosa County (850) 897-8550

SHERYL FAIN CRNP

Nurse Practitioner (Family)

4562 E HIGHWAY 20
NICEVILLE, FL 32578

Okaloosa County (334) 832-4338

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 Elaine Peacock's NPI number?

The NPI number for Elaine Peacock is 1053709451. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Elaine Peacock located?

Elaine Peacock practices at 4562 E Highway 20, Niceville, FL 32578. The listed phone number is (850) 897-8550.

What is Elaine Peacock'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 Elaine Peacock was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.