Judith Medina, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND14365 Issued in FL

Practice address

6000 US-98
Pensacola, FL 32512-0001

Phone

(850) 505-6601

NPI assigned

Jun 3, 2025

Last updated

Sep 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Diabetes and Nutrition CenterGroup PAC ID 1456624287, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Emerald Coast Diabetes & Nutrition Center

  • General Practice Physician
  • Fort Walton Beach, FL
  • NPI 1700307550

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1619861952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 FOREST BAY AVE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 US-98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JUDITH",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND14365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA",
            "identifier": "ND14365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Command Clinical Practice of Florida PA
• Medical Professional Agency Inc
• Medical Professional Agency Inc (Baptist Business Health Solutions)
• Medical Services of America Inc (Medi Home Care)
• Jennifer Medina, SLP
• Lora Medley
• Charles Shane Medlock, MD
• Christina Medrano, PA-C
• Mefl, LLC
• Megan M Stodard PHD LLC (Harbor Wellness)

• Registered Dietitian in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.