IVY LEE SHEEHAN (RD, CDE) – Registered Dietitian, NPI 1083811194

IVY LEE SHEEHAN (RD, CDE) is a healthcare provider. based in Sarasota, Florida. specializing in Registered Dietitian. They hold the professional credentials RD, CDE. They hold a License No. ND9738 (FL). The NPI Number for IVY LEE SHEEHAN (RD, CDE) is 1083811194

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
IVY LEE SHEEHAN (RD, CDE)
NPI
1083811194
Phone
(941) 917-3270
Address
1921 Waldemere St Ste 512
Enumeration Date
2 July 2007
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419173500
Graduation Year
1988 (38 years ago)
PAC ID
6800981580
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20200716003280
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

Provider Addresses for IVY LEE SHEEHAN (RD, CDE)

  • 1921 Waldemere St Ste 512

    Sarasota, FL 342392941

    Phone: (941) 917-3270

    Fax: (941) 917-3275

    Type: Location

  • 2195 HARRODSBURG RD STE 125

    LEXINGTON, KY 405043543

    Phone: (859) 323-2232

    Fax: (859) 257-1078

    Type: Location

  • Waldemere Street, Sarasota Heights, Sarasota, Sarasota County, Florida, 34239, United States

    SARASOTA, FL 342392941

    Phone: (941) 917-3270

    Fax: (941) 917-3275

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328863407

    Phone: (941) 917-3270

    Fax: (941) 917-3275

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070927000106IRegistered Dietitian Or Nutrition ProfessionalKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

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Frequently asked questions

What NPI should I save for IVY LEE SHEEHAN (RD, CDE)?
Save NPI 1083811194 if you need a stable reference for IVY LEE SHEEHAN (RD, CDE).
Is IVY LEE SHEEHAN (RD, CDE)'s NPI currently valid?
The extract we use shows IVY LEE SHEEHAN (RD, CDE) as active.
Does IVY LEE SHEEHAN (RD, CDE) list a primary specialty?
If you are matching referrals, note Registered Dietitian for IVY LEE SHEEHAN (RD, CDE). Clinical services aligned with this taxonomy classification.
What location metadata exists for IVY LEE SHEEHAN (RD, CDE)?
The page summarizes Sarasota, Florida for IVY LEE SHEEHAN (RD, CDE); expand the address list for detail.
Is IVY LEE SHEEHAN (RD, CDE) a real provider?
This page reflects official NPPES data for NPI 1083811194. Always confirm identity and privileges with the practice and licensing boards.

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