STEPHANIE LYN MEDINA (NPI# 1093313033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093313033 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYN MEDINA |
| Practice Address |
2349 N 83rd Dr Phoenix AZ 85037-3742 |
| Practice Telephone | 6193096824 |
| Mailing Telephone | 6193096824 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 218387 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENCED PRACTICAL NURSE | 218387 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760869358 | Stephanie Medina | Emergency Medicine | 2600 Clifton Ave, Cincinnati, OH 45220-2872 | 2015-05-03 |
| 1679044143 | Stephanie Medina | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2018-12-10 |
| 1164998092 | Stephanie Medina | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2018-10-18 |
| 1750868022 | Stephanie Medina | Occupational Therapy Assistant | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-19 |
| 1528562402 | Stephanie Medina | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-03-23 |
| 1528568250 | Stephanie Medina | Occupational Therapy Assistant | 712 N Monroe Ave, Sedgwick, KS 67135-9492 | 2018-02-19 |
| 1609320571 | Stephanie Medina | Specialist/Technologist | 1936 North St, Nacogdoches, TX 75965-3940 | 2016-08-09 |
| 1205088069 | Stephanie E Medina | Counselor | 920 W Broadway St, Hobbs, NM 88240-5529 | 2008-10-10 |
| Street Address |
2349 N 83RD DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736291 | Rosa Luz Helm | Licensed Practical Nurse | 3434 S 67th Ave, Phoenix, AZ 85043-6523 | 2020-09-23 |
| 1639783160 | Jennifer Nadine Stockton | Licensed Practical Nurse | 2702 W Yorkshire Dr Apt 3100, Phoenix, AZ 85027-3939 | 2020-09-02 |
| 1871149765 | Victoria Elizabeth Bare | Licensed Practical Nurse | 1718 W Vineyard Rd, Phoenix, AZ 85041-5804 | 2019-08-15 |
| 1275096604 | Jenifer Lea Losey | Licensed Practical Nurse | 7728 S 37th Way, Phoenix, AZ 85042-9656 | 2019-04-11 |
| 1407319098 | Jennifer Maynard Pratt | Licensed Practical Nurse | 875 Lamson Rd, Phoenix, NY 13135-9020 | 2019-04-10 |
| 1356814594 | Patricia K Hodge | Licensed Practical Nurse | 33602 N 25th Dr, Phoenix, AZ 85085-6006 | 2019-01-10 |
| 1356843692 | Tirzah Gee-simpson | Licensed Practical Nurse | 4411 E Chandler Blvd Apt 2047, Phoenix, AZ 85048-7671 | 2018-03-02 |
| 1396257762 | Shirley Ann Furlong | Licensed Practical Nurse | Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 | 2017-10-25 |
| 1467963124 | Quality Outlook | Licensed Practical Nurse | 1717 W Glendale Ave Apt 3011, Phoenix, AZ 85021-8817 | 2017-10-20 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| Find all providers in PHOENIX | ||||
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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.