Judith Medina, MS, RDN, LD
NPI 1619861952 · Registered Dietitian · Crestview, FL
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Judith Medina, MS, RDN, LD is a Registered Dietitian provider in Crestview, FL (NPI 1619861952).
Provider details
- NPI number
- 1619861952
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- ND14365 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 115 Miracle Strip Pkwy Se Unit 101Fort Walton Beach, FL 32548-5976Phone: (850) 374-7604Fax: (850) 792-2545
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Frequently asked questions
- What is Judith Medina's NPI number?
- Judith Medina's National Provider Identifier (NPI) is 1619861952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judith Medina's specialty?
- Judith Medina is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Judith Medina located?
- Judith Medina's practice location on file with NPPES is 951 S Ferdon Blvd, Crestview, FL 32536-4507.
- What is Judith Medina's phone number?
- The practice phone number listed in the NPPES registry for Judith Medina is (850) 374-7604.
- Does Judith Medina accept Medicare?
- Judith Medina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Judith Medina's NPI active?
- Yes — Judith Medina's NPI (1619861952) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.