P31 LIFE – Psychiatric/Mental Health Nurse Practitioner, NPI 1336819788

P31 LIFE is a healthcare provider. based in Niceville, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for P31 LIFE is 1336819788

Main info

Organization
Name
P31 LIFE
NPI
1336819788
Phone
(850) 299-9943
Address
4516 E HIGHWAY 20 # 168
Authorized Official
DIANNE KELLY SMITH OWNER APRN
Enumeration Date
16 September 2021
Last Update Date
28 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for P31 LIFE

  • 4516 E HIGHWAY 20 # 168

    NICEVILLE, FL 325789755

    Phone: (850) 299-9943

    Fax: (863) 594-1643

    Type: Mailing

  • 4951 E HIGHWAY 20

    202F

    NICEVILLE, FL 325788844

    Phone: (850) 299-9943

    Type: Location

  • 7901 4TH ST N STE 300

    SAINT PETERSBURG, FL 337024399

    Phone: (305) 924-5397

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Reviews

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Frequently asked questions

How do payers reference P31 LIFE?
For P31 LIFE, use NPI 1336819788 as the unique 10-digit identifier.
Is P31 LIFE still an active registrant?
P31 LIFE carries an active NPI according to the public dataset.
What area of care is associated with P31 LIFE?
P31 LIFE's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with P31 LIFE?
Directory geography for P31 LIFE centers on Niceville, Florida.
When was this NPI issued?
Enumeration for P31 LIFE is noted as September 16, 2021 where the registry provides it.

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