1. Home
  2. Directory
  3. Florida
  4. Navarre
  5. Nurse Practitioner
  6. NPI Profile

SEASIDE WELLNESS OF NAVARRE
NPI 1730704875
Nurse Practitioner - Psychiatric/Mental Health in Navarre, FL

Active since June 15, 2020CLIA 10D2190717 · Waiver
1931 ORTEGA ST, NAVARRE, FL 32566(850) 684-1410(833) 989-0937 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, May 19, 2021, Jun 15, 2020 (3 updates tracked since 2020).

About Seaside Wellness Of Navarre NPPES

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

SEASIDE WELLNESS OF NAVARRE (NPI 1730704875) is a healthcare organization registered as a psychiatric/mental health in Navarre, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Angela Sanders, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1730704875
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSEASIDE PRIMARY CARE & PSYCHIATRY, LLC
Location Address1931 ORTEGA STNavarre, FL 32566-4111
Mailing Address9670 Meadow Wood LnNavarre, FL 32566-2876
Phone(850) 684-1410
Fax(833) 989-0937
Organization SubpartNo
Authorized OfficialAngela SandersOwner/nurse Practitioner · (850) 684-1410
Enumeration DateJune 15, 2020
Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1730704875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1931 ORTEGA ST, Navarre, FL 32566
Open in Google Maps ↗

Other Names 1

Doing Business AsSeaside Wellness Of Navarre

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2190717

Seaside Primary Care And Psychiatry LLC · Navarre, FL
Active · expires Aug 17, 2026
CLIA Number10D2190717
Laboratory TypePractitioner Other
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorAngela D. Sanders
Laboratory Phone(850) 736-0026
Laboratory LocationSeaside Primary Care And Psychiatry LLC1931 Ortega St, Navarre, FL 32566
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

GRACE FRANCIS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1931 ORTEGA ST
NAVARRE, FL 32566
Santa Rosa County (850) 684-1410
MRS. ANGELA D SANDERS APRN, DNP
Nurse Practitioner (Psychiatric/Mental Health)
1931 ORTEGA ST
NAVARRE, FL 32566
Santa Rosa County (850) 684-1410
SOUTH SANTA ROSA WOMEN'S CENTER, PA
Nurse Practitioner (Women's Health)
1931 ORTEGA ST, 5992 BERRYHILL RD, SUITE 203
NAVARRE, FL 32566
Santa Rosa County (850) 936-1316
PEACE OF MIND PSYCHIATRY LLC
Nurse Practitioner (Family)
1931 ORTEGA ST
NAVARRE, FL 32566
Santa Rosa County (850) 684-1410
COLLEEN J DODSON FNP-BC
Nurse Practitioner (Family)
1931 ORTEGA ST
NAVARRE, FL 32566
Santa Rosa County (850) 684-1410
ANGELA M CALDERON ARNP
Nurse Practitioner (Women's Health)
1931 ORTEGA ST
NAVARRE, FL 32566
Santa Rosa County (850) 936-1316

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 Seaside Primary Care & Psychiatry, LLC's NPI number?

The NPI number for Seaside Primary Care & Psychiatry, LLC is 1730704875. It was assigned to this organization in the NPPES registry on June 15, 2020. The provider is doing business as Seaside Wellness Of Navarre.

Where is Seaside Primary Care & Psychiatry, LLC located?

Seaside Primary Care & Psychiatry, LLC is located at 1931 Ortega St, Navarre, FL 32566. The listed phone number is (850) 684-1410.

What is Seaside Primary Care & Psychiatry, LLC's specialty?

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

Does Seaside Primary Care & Psychiatry, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2190717) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seaside Primary Care & Psychiatry, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Seaside Primary Care & Psychiatry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaside Primary Care & Psychiatry, LLC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.