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

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