KRISTINA WORTHINGTON (MSH, RD, CSSD, LD/N) – Sports Dietetics Nutrition Registered Dietitian, NPI 1407494875
Sports Dietetics Nutrition Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL
Provider Addresses for KRISTINA WORTHINGTON (MSH, RD, CSSD, LD/N)
4555 EMERSON ST
JACKSONVILLE, FL 322074966
Phone: (904) 294-0022
Type: Location
15255 Max Leggett Pkwy
Jacksonville, FL 322187273
Phone: (904) 294-0022
Type: Location
8291 BARRACUDA RD
JACKSONVILLE, FL 322441203
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2020-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200129001896 | I | Registered Dietitian Or Nutrition Professional | FL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 153 | 32 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 92 | 23 | $0 |
Insurance plans in this area (ZIP 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | MN | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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