EMERALD WATERS MEDICAL CLINIC LLC
NPI 1306192216
Nurse Practitioner in Niceville, FL
About Emerald Waters Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD WATERS MEDICAL CLINIC LLC (NPI 1306192216) is a healthcare organization registered as a nurse practitioner in Niceville, Florida and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Mauricia Stanton, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Practice 1
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 10D2048190
Emerald Waters Medical Clinic LLC · Niceville, FLOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emerald Waters Medical Clinic LLC's NPI number?
The NPI number for Emerald Waters Medical Clinic LLC is 1306192216. It was assigned to this organization in the NPPES registry on July 28, 2012.
Where is Emerald Waters Medical Clinic LLC located?
Emerald Waters Medical Clinic LLC is located at 1005 College Blvd W Suite B, Niceville, FL 32578. The listed phone number is (850) 279-6815.
What is Emerald Waters Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Does Emerald Waters Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2048190) is associated with this NPI, valid through October 10, 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 Emerald Waters Medical Clinic LLC was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
