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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

P31 LIFE
NPI 1336819788
Nurse Practitioner - Psychiatric/Mental Health in Niceville, FL

Active since September 16, 2021
4591 E HIGHWAY 20 STE 202, NICEVILLE, FL 32578(850) 299-9943(863) 594-1643 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2026, Mar 28, 2026, Mar 19, 2026 and 2 more (5 updates tracked since 2021).

About P31 Life NPPES

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

P31 LIFE (NPI 1336819788) is a healthcare organization registered as a psychiatric/mental health in Niceville, Florida and active in the NPI registry since September 2021. The organization lists Dianne Kelly Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1336819788
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameP31 LIFE
Location Address4591 E HIGHWAY 20 STE 202Niceville, FL 32578-8845
Mailing Address4516 E Highway 20 # 168Niceville, FL 32578-9755 · (850) 299-9943 · Fax (863) 594-1643
Phone(850) 299-9943
Fax(863) 594-1643
Organization SubpartNo
Authorized OfficialDianne Kelly SmithOwner · (850) 299-9943
Enumeration DateSeptember 16, 2021
Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1336819788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4591 E HIGHWAY 20 STE 202, Niceville, FL 32578
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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 3

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

GINNY REBECCA EVERTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4591 E HIGHWAY 20 STE 202
NICEVILLE, FL 32578
Okaloosa County (850) 899-2233
BOOBOLOGY WITH DR. MOMO
Nurse Practitioner (Family)
4591 E HIGHWAY 20 STE 202
NICEVILLE, FL 32578
Okaloosa County (850) 865-0406
DR. DIANNE KELLY SMITH DNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
4591 E HIGHWAY 20 STE 202
NICEVILLE, FL 32578
Okaloosa County (850) 299-9943

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 P31 Life's NPI number?

The NPI number for P31 Life is 1336819788. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is P31 Life located?

P31 Life is located at 4591 E Highway 20 Ste 202, Niceville, FL 32578. The listed phone number is (850) 299-9943.

What is P31 Life's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for P31 Life was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.