| Kim Lydick, APRN | |
|
2600 Partin Dr N Ste 120, Niceville, FL 32578-1543 | |
| (850) 279-3040 | |
| Not Available |
| Full Name | Kim Lydick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2600 Partin Dr N Ste 120, Niceville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326693292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11003603 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health System Inc | 3779491386 | 355 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Entity Name | Julie Staats Do Family Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184036725 PECOS PAC ID: 2860829116 Enrollment ID: O20200226000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Lydick, APRN 91 Norwood Dr Unit 5, Miramar Beach, FL 32550-4106 Ph: (850) 775-7364 | Kim Lydick, APRN 2600 Partin Dr N Ste 120, Niceville, FL 32578-1543 Ph: (850) 279-3040 |
Mrs. Misti D Schneidewind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Oakwood Cir, Niceville, FL 32578 Phone: 850-897-4547 Fax: 850-897-4547 | |
Rachel Alexandra Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626 | |
Mrs. Angela Maria Champion, FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4562 E Highway 20, Niceville, FL 32578 Phone: 850-897-8550 | |
Shawn M. Lee, ACNP-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 E Highway 20, Niceville, FL 32578 Phone: 508-863-8219 Fax: 850-863-8249 | |
Elaine Peacock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4562 E Highway 20, Niceville, FL 32578 Phone: 850-897-8550 | |
Kellie Kaiser Brock, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Lakeside Dr, Niceville, FL 32578 Phone: 713-582-0937 | |
Ms. Mauricia Dora Stanton, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 College Blvd West, Suite B, Niceville, FL 32578 Phone: 850-279-6815 |