Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619861952 Individual Practitioner Female Practitioner

Judith Medina , MS, RDN, LD

Dietitian, Registered • Crestview, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Judith Medina, MS, RDN, LD is a certified Dietitian, Registered practicing in Crestview, FL. With approximately 2 years of clinical experience since completing medical education in 2024, Judith Medina delivers high-quality medical care to the local community at 951 S FERDON BLVD.

Judith Medina is affiliated with Emerald Coast Diabetes And Nutrition Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

951 S Ferdon Blvd

Crestview, FL 325364507

Telephone 8503747604
Fax 8507922545
Associated Practice Facility / Clinic
🏢 Streeter Vision Pa Facility NPI 1720795933

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Crestview, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -4.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Crestview, FL (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Medina (2 Years) 2 Yrs
Crestview Specialty Average (6.5 Years) 6.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL ND14365

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida
ND14365 (FL)

Hospital & Practice Group Affiliations

Emerald Coast Diabetes And Nutrition Center

115 Miracle Strip Pkwy Se, Fort Walton Beach, FL 325485817

Phone: 8503747604

Secondary Practice Locations

115 Miracle Strip Pkwy Se Unit 101

Fort Walton Beach, FL 325485976

Phone: 8503747604

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tanya Lunsford , RD

Dietitian, Registered

NPI 1013173707

Registered Dietitian

NPI 1881823060

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2025

Registered at 951 S FERDON BLVD, CRESTVIEW, FL 325364507 (Tel: 8503747604)

📍
Updated Business Mailing Address June 03, 2025

Registered at 6299 FOREST BAY AVE, GULF BREEZE, FL 325639799

👤
Provider Name / Credentials Updated June 03, 2025

Recorded as JUDITH MEDINA, MS, RDN, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2025

Dietitian, Registered (License #ND14365 in FL)

🟢
Initial NPI Registration & Enumeration June 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619861952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2025
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

6299 Forest Bay Ave

Gulf Breeze, FL 325639799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.