Crestview Immediate Care LLC — NPI 1073134730
Crestview Immediate Care LLC’s National Provider Identifier is 1073134730. NPPES classifies this as a Type 2 organization record and reports a practice location in Crestview, Florida. The primary taxonomy is Family Nurse Practitioner.
Key facts
- NPI
- 1073134730
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 4100 S FERDON BLVD STE A3
Crestview, Florida 32536 - Practice telephone
- (850) 758-7791
- Primary taxonomy
- Family Nurse Practitioner
- Additional taxonomies
-
- Primary Care Clinic/Center
- Enumeration date
- May 4, 2020
- NPPES last update
- June 9, 2020
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Crestview Immediate Care LLC?
The NPI listed for Crestview Immediate Care LLC in the NPPES snapshot is 1073134730. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1073134730 an individual or organization record?
NPPES records NPI 1073134730 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 4100 S FERDON BLVD STE A3, Crestview, Florida 32536.
What taxonomy codes are listed for this NPI?
2 taxonomy codes are listed. Primary: Family Nurse Practitioner (363LF0000X). Additional: Primary Care Clinic/Center (261QP2300X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of June 9, 2020 and an enumeration date of May 4, 2020, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Crestview, Florida NPI directory and the Florida NPI directory.
Other published profiles in Crestview, FL
Up to ten other profiles this site publishes for Crestview, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.