Individual provider Active NPI

Shelby Burd

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1942199146
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040600 Issued in FL
Practice address
1250 N Vantage Point Dr
Crystal River, FL 34429-5736
Phone
(352) 795-0644
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11040600 FL Primary

Addresses

Primary practice location

1250 N Vantage Point Dr
Crystal River, FL 34429-5736

Mailing address

1742 E Zyrian PL
Hernando, FL 34442-4038
Phone (352) 804-6682

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
I20250724003255 FL Practitioner - Nurse Practitioner 1951818012 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowcrest Family Physicians, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Meadowcrest Family Physicians, P.a. CurrentSince Jul 1, 2025 Accepting new patients

Locations

1250 N Vantage Point Dr
Crystal River, FL 34429
Phone (352) 795-0644

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73059

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, 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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1942199146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E ZYRIAN PL",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344424038",
            "telephone_number": "352-804-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N VANTAGE POINT DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295736",
            "telephone_number": "352-795-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURD",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.