CRESTVIEW IMMEDIATE CARE LLC
NPI 1073134730
Nurse Practitioner - Family in Crestview, FL

Q: What is Crestview Immediate Care LLC's NPI number?

The NPI number for Crestview Immediate Care LLC is 1073134730. It was assigned to this organization in the NPPES registry on May 4, 2020.

Q: What is Crestview Immediate Care LLC's specialty?

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

Active since May 04, 2020

4100 S FERDON BLVD STE A3, CRESTVIEW, FL 32536(850) 758-7791 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2020, May 4, 2020 (2 updates tracked since 2020).

On this page

About Crestview Immediate Care Llc NPPES

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

CRESTVIEW IMMEDIATE CARE LLC (NPI 1073134730) is a healthcare organization registered as a family in Crestview, Florida and active in the NPI registry since May 2020. The organization lists Aliason Heather Martin-overton, Owner, as its authorized official.

NPPES Registry Identity

NPI1073134730

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCRESTVIEW IMMEDIATE CARE LLC

Location Address4100 S FERDON BLVD STE A3Crestview, FL 32536-5287

Mailing Address4100 S Ferdon Blvd Ste A3Crestview, FL 32536-5287 · (850) 634-6345 · Fax (850) 634-6345

Phone(850) 758-7791

Organization SubpartNo

Authorized OfficialAliason Heather Martin-overtonOwner · (850) 634-6345

Enumeration DateMay 4, 2020

Last NPPES UpdateJune 9, 20202 updates tracked since enumeration

NPPES CertifiedJune 9, 2020

✔ NPI 1073134730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

4100 S FERDON BLVD STE A3, Crestview, FL 32536

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MS. PATRICIA BREEDEN ROSS NURSE PRACTITIONER

Nurse Practitioner (Family)

4100 S FERDON BLVD STE A3
CRESTVIEW, FL 32536

Okaloosa County (850) 634-6345

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 Crestview Immediate Care LLC's NPI number?

The NPI number for Crestview Immediate Care LLC is 1073134730. It was assigned to this organization in the NPPES registry on May 4, 2020.

Where is Crestview Immediate Care LLC located?

Crestview Immediate Care LLC is located at 4100 S Ferdon Blvd Ste A3, Crestview, FL 32536. The listed phone number is (850) 758-7791.

What is Crestview Immediate Care LLC'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 Crestview Immediate Care LLC was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.