Tessa Patterson

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

28054 Issued in FL

Practice address

4399 Commons Dr E
Destin, FL 32541-8413

Phone

(256) 656-0124

NPI assigned

May 8, 2023

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 names 1

• Tessa Shepherd Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1801586540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRIZO LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598487",
            "telephone_number": "256-656-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 COMMONS DR E",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418413",
            "telephone_number": "256-656-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "28054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "SHEPHERD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Felix J Oyugi-Summers, APRN
• Mary Jo Pace, CST, SA
• Brittany Palfi
• Chris George Pappas, MD
• Krasimir Ivanov Pashaliev
• Paul Kellum, DDS
• Payne Chiropractic Life Center PA
• Alan M Payne, DC
• Pediatric ABA 10 Inc
• Natalie Pelly, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Destin, FL
• Providers in Destin, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.