Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Judith Medina, MS, RDN, LD

Individual provider Registered Dietitian · NPI 1619861952

Judith Medina, MS, RDN, LD is a Registered Dietitian OR Nutrition Professional in Crestview, Florida. Qualified in 2024, 2 years ago. Practices with Emerald Coast Diabetes and Nutrition Center, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

951 S Ferdon Blvd
Crestview, FL 32536-4507
Phone: (850) 374-7604
Fax: (850) 792-2545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL 32548-5976 — (850) 374-7604

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND14365 (FL)

Record details

NPI number1619861952
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , LD
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Emerald Coast Diabetes And Nutrition Center — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crestview