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A TRUSTED NURSE PRACTITIONER
NPI 1295368645
Nurse Practitioner - Family in Gulf Breeze, FL

Active since February 13, 2020CLIA 10D2272744 · Waiver
1101 GULF BREEZE PKWY STE 514, GULF BREEZE, FL 32561(850) 990-9100(850) 396-0142 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2022, Jun 10, 2022, Feb 13, 2020 (3 updates tracked since 2020).

About A Trusted Nurse Practitioner NPPES

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

A TRUSTED NURSE PRACTITIONER (NPI 1295368645) is a healthcare organization registered as a family in Gulf Breeze, Florida and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through November 28, 2026, maintains a secondary practice location in Pensacola, and lists Renea Kathleen Clowdsley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295368645
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameA TRUSTED NURSE PRACTITIONER
Location Address1101 GULF BREEZE PKWY STE 514Gulf Breeze, FL 32561-4862
Mailing Address6 Ocean View DrPensacola Beach, FL 32561-2436 · (850) 384-6256
Phone(850) 990-9100
Fax(850) 396-0142
Organization SubpartNo
Authorized OfficialRenea Kathleen ClowdsleyCeo · (850) 990-9100
Enumeration DateFebruary 13, 2020
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1295368645 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 GULF BREEZE PKWY STE 514, Gulf Breeze, FL 32561
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Secondary Practice Location 1

Location 11101 Office Woods DrPensacola, FL 32504-5937 · Phone (850) 805-2000

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2272744

A Trusted Nurse Practioner, LLC · Gulf Breeze, FL
Active · expires Nov 28, 2026
CLIA Number10D2272744
Laboratory TypePractitioner Other
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorRenecea Clowdsley
Laboratory Phone(850) 990-9100
Laboratory LocationA Trusted Nurse Practioner, LLC1101 Gulf Breeze Pkwy, Bldg 5, Suite 14, Gulf Breeze, FL 32561
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 A Trusted Nurse Practitioner's NPI number?

The NPI number for A Trusted Nurse Practitioner is 1295368645. It was assigned to this organization in the NPPES registry on February 13, 2020.

Where is A Trusted Nurse Practitioner located?

A Trusted Nurse Practitioner is located at 1101 Gulf Breeze Pkwy Ste 514, Gulf Breeze, FL 32561. The listed phone number is (850) 990-9100.

What is A Trusted Nurse Practitioner's specialty?

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

Does A Trusted Nurse Practitioner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2272744) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for A Trusted Nurse Practitioner was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.