LISA J MEDINA (NPI# 1093182446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093182446 |
| Entity Type | Individual |
| Full Name | LISA J MEDINA |
| Credential | RDH |
| Practice Address |
2300 Grande Blvd Se Rio Rancho NM 87124-1755 |
| Practice Telephone | 5058967100 |
| Mailing Telephone | 5058967100 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH4346 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 1093182446 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183506 | Lisa M Medina | Internal Medicine | J St. B16, Edif.medico Hnas Davila Suite103 Villa Rica, Bayamon, PR 00956 | 2005-12-06 |
| 1831688472 | Lisa M Medina | Student in an Organized Health Care Education/Training Program | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605-2349 | 2018-05-09 |
| 1023318813 | Lisa C. Medina | Counselor | 5808 Balcones Dr, 201, Austin, TX 78731-4255 | 2010-10-26 |
| 1174759922 | Lisa Ann Medina | Speech-Language Pathologist | 1952 E 7000 S Ste 100, Salt Lake City, UT 84121-6878 | 2009-06-08 |
| 1518996180 | Lisa Medina | Family Medicine | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2006-07-03 |
| Street Address |
2300 GRANDE BLVD SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548331499 | Eugene F. Sun | Internal Medicine | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2006-11-13 |
| 1013539154 | Melissa Carol Ward | Case Manager/Care Coordinator | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2020-05-12 |
| 1124665237 | Denis Mbueha Muebake | Nurse Practitioner | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2019-12-09 |
| 1346727104 | Nadine J Baldonado | Nurse Practitioner | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2018-07-25 |
| 1134633209 | Anjanaea Ratcliff, Csw | Case Manager/Care Coordinator | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2017-11-27 |
| 1649621848 | Estelle Marie Elliott | Nurse Practitioner | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2016-06-29 |
| 1164808606 | Marcia Renee Filipiak | Counselor | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2015-08-06 |
| 1093114290 | Kimberley Durr | Nurse Practitioner | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2014-08-14 |
| 1477975688 | Presbyterian Medical Services | Clinic/Center | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1636 | 2014-01-08 |
| 1043503683 | Santiago Marinez Ayala | Family Medicine | 2300 Grande Blvd Se, Suite A, Rio Rancho, NM 87124-1755 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125658 | Alicia T Medrano | Dental Hygienist | 1105 Golf Course Rd Se Bldg A, Rio Rancho, NM 87124-4733 | 2018-05-22 |
| 1174922231 | Alicia Baca-salazar | Dental Hygienist | 4405 Jager Dr Ne Ste C1, Rio Rancho, NM 87144-5715 | 2014-08-14 |
| 1740392778 | Pearly Whites Dental Hygiene, Inc. | Dental Hygienist | 4041 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1065 | 2006-08-31 |
| 1821066317 | Shirley Ann Fite | Dental Hygienist | 2200 Grande Blvd Se, Suite A, Rio Rancho, NM 87124-1695 | 2006-03-09 |
| 1295222560 | Willow Springs Dental Hygiene Clinic | Dental Hygienist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124-1860 | 2018-04-21 |
| 1194244996 | Christiane Miller | Dental Hygienist | 2600 American Rd Se Ste 230, Rio Rancho, NM 87124-1858 | 2017-09-12 |
| 1215344148 | Christen Larae Cavazos | Dental Hygienist | 4405 Jager Dr Ne, C-1, Rio Rancho, NM 87144-5709 | 2014-07-11 |
| 1477802163 | Michelle Richins Grega | Dental Hygienist | 1316 Jackie Rd Se, Suite 300, Rio Rancho, NM 87124-6618 | 2012-09-10 |
| 1932349776 | Angela M Janke | Dental Hygienist | 1316 Jackie Rd Se, Suite 300, Rio Rancho, NM 87124-6618 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1669095188 | Julie Arneson | Dental Hygienist | 11 Sacred Vista Rd, El Prado, NM 87529 | 2020-05-19 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
| 1972061539 | Mary Hilley | Dental Hygienist | 33 General Sage Dr, Santa Fe, NM 87505-6397 | 2019-03-03 |
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1356825186 | Roberta Rodriguez | Dental Hygienist | 15136 St Hwy 75, Penasco, NM 87553 | 2018-09-18 |
| 1700393733 | Utopia Dental Care,llc | Dental Hygienist | 1100 Lomas Blvd Nw Ste 1a, Albuquerque, NM 87102-1878 | 2017-12-28 |
| Find all providers with the same taxonomy | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.