Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Latonya Shepherd

Dietitian, Registered β€’ Winter Haven, FL

Active NPI 1205613254 Individual Practitioner Female Practitioner
Practice location in NPPES

200 Avenue F Ne
Winter Haven, FL 338814131

Call 8632971709 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

200 Avenue F Ne

Winter Haven, FL 338814131

Telephone 8632971709
Organization at the Same NPPES Address or Phone
Ridge Pathology Consultants Facility NPI 1730161068

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Winter Haven and Florida

12 active clinicians are listed under Dietitian, Registered with a practice address in Winter Haven, FL (3,545 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winter Haven

0% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2024-04-25
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES FL 5447

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

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Kehinde Adesokan , MD

Psychiatry & Neurology - Psychiatry

NPI 1164871687

Doctor of Medicine (M.D.)

Audra Adkinson , APRN

Nurse Practitioner - Family

NPI 1801460100

Advanced Practice Registered Nurse

NPI 1104893387

Doctor of Psychology (Psy.D.)

Dr. Jess Baker , DO

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1982016044

Doctor of Osteopathic Medicine (D.O.)

Ashley Barker , CRNA

Nurse Anesthetist, Certified Registered

NPI 1609286921

Certified Registered Nurse Anesthetist

Jessica Bearden , APRN

Nurse Practitioner - Family

NPI 1578207916

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Business Mailing Address April 25, 2024

Registered at 200 AVENUE F NE, WINTER HAVEN, FL 338814131 (Tel: 8632971709)

βœ…
NPI Profile Active September 13, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2023

Registered at 200 AVENUE F NE, WINTER HAVEN, FL 338814131 (Tel: 8632971709)

πŸ“
Business Mailing Address (Initial Record) September 13, 2023

Registered at 335 E ECHO ST, LAKE ALFRED, FL 338502925 (Tel: 2698761422)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2023

Recorded as LATONYA SHEPHERD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2023

Dietitian, Registered (license number reported to NPPES: FL 5447)

🟒
Initial NPI Registration & Enumeration September 13, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205613254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2023
Last Update: April 25, 2024
Sole Proprietor: Yes

Mailing Address

200 Avenue F Ne

Winter Haven, FL 338814131

Phone: 8632971709

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.