Individual provider Active NPI

Christian Sheffield, APRN; FNP-C

  • Pediatric Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1144812868
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11011014 Issued in FL
Practice address
17121 Rainbow Ter
Odessa, FL 33556-2107
Phone
(813) 601-3982
NPI assigned
Feb 4, 2021
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011014 FL
Pediatric Nurse Practitioner 363LP0200X 11011014 FL Primary
Maternal Newborn Registered Nurse 163WM0102X 11011014 FL

Addresses

Primary practice location

17121 Rainbow Ter
Odessa, FL 33556-2107

Mailing address

4304 Windmill Pointe Dr
Plant City, FL 33567-3645
Phone (813) 601-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000944 FL Practitioner - Nurse Practitioner 1951710391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State Wide Dermatology 'LLC'Group PAC ID 1052531035, 5 clinicians

Practice addresses (Care Compare)

17121 Rainbow Ter
Odessa, FL 33556-2107
Phone (813) 749-0907

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011014FLMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State Wide Dermatology LLC CurrentSince May 1, 2021 Accepting new patients
Magnolia Bay Pediatrics LLC Current Accepting new patients
Premier Care Pediatrics, PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDFCAA/Endpoint/JDFCAA

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1144812868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 WINDMILL POINTE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673645",
            "telephone_number": "813-601-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 RAINBOW TER",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562107",
            "telephone_number": "813-601-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "CHRISTIAN",
        "credential": "APRN; FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011014",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11011014",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "11011014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.