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Judith Medina , MS, RDN, LD

Dietitian, Registered β€’ Pensacola, FL

Active NPI 1619861952 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

6000 Us-98
Pensacola, FL 325120001

Call 8505056601 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6000 Us-98

Pensacola, FL 325120001

Telephone 8505056601
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Emerald Coast Diabetes And Nutrition Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2024

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Judith Medina has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Pensacola and Florida

60 active clinicians are listed under Dietitian, Registered with a practice address in Pensacola, FL (3,552 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pensacola

1.7% of these 60 clinicians have the CMS telehealth indicator.

6.7% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-04
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Florida
ND14365 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20250613001988

Enrollment State Jurisdiction

FL

PECOS Control ID

8628589991

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Emerald Coast Diabetes And Nutrition Center

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

Phone: 8503747604

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Paul Boyer , PA

Physician Assistant

NPI 1972029866

Physician Assistant

Dr. Charles Horn , MD

Radiology - Diagnostic Radiology

NPI 1962774729

Doctor of Medicine (M.D.)

Dr. Paul Jimenez , MD

Internal Medicine

NPI 1679731863

Doctor of Medicine (M.D.)

Dr. Christopher Manganello , MD

Radiology - Diagnostic Radiology

NPI 1003296146

Doctor of Medicine (M.D.)

Dr. Lance Monteau , MD

Internal Medicine

NPI 1003015454

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 04, 2026

Registered at 6000 US-98, PENSACOLA, FL 325120001 (Tel: 8505056601)

βœ…
NPI Profile Active June 03, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2025

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

πŸ“
Business Mailing Address (Initial Record) June 03, 2025

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

🏒
Secondary Practice Location Registered June 03, 2025

Additional practice office at 115 Miracle Strip Pkwy SE Unit 101, Fort Walton Beach, FL 325485976

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2025

Recorded as JUDITH MEDINA, MS, RDN, LD

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

Dietitian, Registered (license number reported to NPPES: FL ND14365)

🟒
Initial NPI Registration & Enumeration June 03, 2025

First registered as active Individual Practitioner in NPPES Database.

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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: September 04, 2026
Sole Proprietor: No

Other Dietitian, Registereds in Pensacola

Healthcare providers in Pensacola

Mailing Address

6299 Forest Bay Ave

Gulf Breeze, FL 325639799

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.