Shannon Holmes Whitehead

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023087 Issued in FL

Practice address

7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840

Phone

(352) 436-4328

NPI assigned

Nov 18, 2022

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nature Coast Primary Care Lab LLCGroup PAC ID 4284040163, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (4 of 5)

Locations

Networks

• Freedom Health HMO Network

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.

• Nature Coast Primary Care Lab LLC

  • Clinical Medical Laboratory
  • Crystal River, FL
  • NPI 1114534385

  FL

  Medicare reassignment Care Compare group NPD
• Nature Coast Health Care Radiology, LLC

  • Radiology Clinic/Center
  • Crystal River, FL
  • NPI 1447844246

  FL

  Medicare reassignment NPD
• Nature Coast High Risk Medical Management LLC

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1013377795

  FL

  Medicare reassignment NPD
• Nature Coast Primary Care, LLC

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1285995043

  FL

  Medicare reassignment NPD
• Verimed Health Group Brooksville LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1194311407

  FL

  Medicare reassignment
• Verimed Health Group Mariner, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Spring Hill, FL
  • NPI 1558749820

  FL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657

  Hospice

  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792

  Hospice

  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053

  Hospice

  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1659080562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297840",
            "telephone_number": "352-436-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297840",
            "telephone_number": "352-436-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "SHANNON",
        "middle_name": "HOLMES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Weliever, MD
• West Coast Dental Partners
• West Florida Medical Associates, PA
• West Florida Medical Associates, PA
• Corey Wharton, RPT
• Clifford Milton Wiggins, LMT
• Kayla Williams, APRN
• Sarah Williams
• Jessica Marie Willis
• Willow and Words Speech and Language Services, LLC

• All providers in Crystal River, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.