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KELLY SHERIDAN RD
NPI 1962703199
Dietitian, Registered in Gainesville, FL

Active since November 04, 2010
2000 SW ARCHER RD, G1110, GAINESVILLE, FL 32608(352) 265-0111 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Sheridan Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SHERIDAN RD (NPI 1962703199) is an individual dietitian, registered in Gainesville, Florida, licensed in Florida (ND4376) and active in the NPI registry since November 2010. She maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1962703199
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY SHERIDANCredential: RD
Location Address2000 SW ARCHER RD, G1110Gainesville, FL 32608-1136
Mailing AddressPo Box 100325Gainesville, FL 32610-0325
Phone(352) 265-0111
Sole ProprietorYes
Enumeration DateNovember 4, 2010
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1962703199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in FL · ND4376
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2000 SW ARCHER RD, Gainesville, FL 32608
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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Sheridan Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Sheridan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shands Teaching Hospital And Clinics Inc
0.4 mi
Clinic/Center
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1821184649 (352) 594-0827

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATHRYN JEAN WARREN PA-C
Physician Assistant
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0725
SEYDEL YANITZA DUBON PA-C
Physician Assistant
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0129
ANNE MARIE SCHRAMM PA-C
Physician Assistant
2000 SW ARCHER RD, UF HEALTH NEUROLOGY - MEDICAL PLAZA
GAINESVILLE, FL 32608
Alachua County (352) 265-8408
OSAMA DASA M.D.
Internal Medicine
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (419) 322-6509
MICHELLE CARDEL PH.D., R.D.
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 273-9703
MRS. SHANA JACOBY AMAR RD
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0111
MRS. PATRICIA JEAN FUNK M.S., R.D., L.D.N.,
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0400
IAN TSEKOURAS MD
Student in an Organized Health Care Education/Training Program
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sheridan's NPI number?

The NPI number for Kelly Sheridan is 1962703199. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Kelly Sheridan located?

Kelly Sheridan practices at 2000 SW Archer Rd G1110, Gainesville, FL 32608. The listed phone number is (352) 265-0111.

What is Kelly Sheridan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kelly Sheridan enrolled in Medicare?

Yes. Kelly Sheridan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Sheridan reassigns Medicare benefits to Shands Teaching Hospital And Clinics Inc (Gainesville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Sheridan was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.