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MRS. MISTY EDGE CRPS
NPI 1619824976
Peer Specialist in Fountain, FL

Active since March 14, 2026
11911 JASMINE ST, FOUNTAIN, FL 32438(850) 451-7294 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Misty Edge Crps NPPES

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

MRS. MISTY EDGE CRPS (NPI 1619824976) is an individual peer specialist in Fountain, Florida, licensed in Florida (CRPS.0101304.A) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1619824976
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. MISTY EDGECredential: CRPS
Location Address11911 JASMINE STFountain, FL 32438-2727
Mailing Address11911 Jasmine StFountain, FL 32438-2727 · (850) 451-7294
Phone(850) 451-7294
Sole ProprietorYes
Enumeration DateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
✔ NPI 1619824976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in FL · CRPS.0101304.A
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
11911 JASMINE ST, Fountain, FL 32438
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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 Misty Edge's NPI number?

The NPI number for Misty Edge is 1619824976. It was assigned to this individual provider in the NPPES registry on March 14, 2026.

Where is Misty Edge located?

Misty Edge practices at 11911 Jasmine St, Fountain, FL 32438. The listed phone number is (850) 451-7294.

What is Misty Edge's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Misty Edge was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.