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

Shannon Holmes Whitehead

Individual provider Family Nurse Practitioner · NPI 1659080562

Shannon Holmes Whitehead is a Nurse Practitioner in Crystal River, Florida. Qualified in 2022, 4 years ago. Practices with Nature Coast Primary Care Lab LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

7562 W Gulf To Lake Hwy
Crystal River, FL 34429-7840
Phone: (352) 436-4328
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11023087 (FL)

Record details

NPI number1659080562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address7562 W Gulf To Lake Hwy, Crystal River, FL 34429-7840

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nature Coast Primary Care Lab Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal River