Individual provider Active NPI

Tanya Renee Lunsford, RD

  • Registered Dietitian
  • Fort Walton Beach, FL
National Provider Identifier
1013173707
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
836192 Issued in IN
Practice address
115 Miracle Strip Pkwy SE Unit 204
Fort Walton Beach, FL 32548-6018
Phone
(850) 374-7604
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND14079 FL
Registered Dietitian 133V00000X 836192 IN Primary
Registered Dietitian 133V00000X 3700100A IN

Addresses

Primary practice location

115 Miracle Strip Pkwy SE Unit 204
Fort Walton Beach, FL 32548-6018

Mailing address

1559 Ingle Rd Ste a
Defuniak Springs, FL 32433-5065
Phone (812) 592-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND14079FLMDRegistered Dietitian
3700100AINMDRegistered Dietitian
836192INMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jenco Medical and Mobility Inc Past Accepting new patients
Emerald Coast Diabetes & Nutrition Center Dietitian, Registered PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1013173707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 INGLE RD STE A",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324335065",
            "telephone_number": "812-592-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MIRACLE STRIP PKWY SE UNIT 204",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486018",
            "telephone_number": "850-374-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND14079",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "836192",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "3700100A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.