DIANA MEDINA (NPI# 1104873082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104873082 |
| Entity Type | Individual |
| Full Name | DIANA MEDINA |
| Credential | PA-C |
| Practice Address |
2025 Galisteo St Santa Fe NM 87505-2101 |
| Practice Telephone | 5059954901 |
| Practice Fax Number | 5059896426 |
| Mailing Telephone | 5059954901 |
| Mailing Fax Number | 5059896426 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 91-PA07 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRESBYTERIAN HEALTH PLANS | 201006707 | 01 | |
| MOLINA | QMYPR0068422 | 01 | |
| NM | 98151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903757 | Diana Esther Medina | Technician | 31225 Water Ave, Nuevo, CA 92567-9760 | 2019-10-09 |
| 1285082750 | Diana Yezenia Medina | Case Manager/Care Coordinator | 50 South Anaheim Blvd, Suite 241, Anaheim, CA 92805-2961 | 2016-05-25 |
| 1447243522 | Diana Viola Medina | Nurse Practitioner | 3775 Southwestern Blvd, Ste A, Orchard Park, NY 14127 | 2005-08-24 |
| 1205478617 | Diana Azucena Medina | Counselor | 7979 Minnesota Rd Apt F, Corona, CA 92881-4316 | 2019-10-17 |
| 1871052290 | Diana Marie Medina | Counselor | 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 | 2019-03-15 |
| 1447748868 | Diana Medina | Technician | 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 | 2018-05-01 |
| 1760886121 | Diana Medina | Psychologist | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2014-10-14 |
| 1023419728 | Diana Medina | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2014-09-12 |
| 1730296013 | Diana Jeannette Medina | Physical Therapist | 1650 E Walnut St, Ste A, Pasadena, CA 91106-1619 | 2006-08-24 |
| 1003827551 | Diana Marcela Medina | Dentist | 11980 San Vicente Blvd, Suite 505, Los Angeles, CA 90049-5012 | 2006-08-10 |
| Street Address |
2025 GALISTEO ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033187802 | Jacquelyn Belinsky | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-03-09 |
| 1912421017 | Crystal Andrea Romero | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2017-07-31 |
| 1447773973 | Victoria Nicole Rios | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2017-07-17 |
| 1932539152 | Georgina F. Gomez-lieberman | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2013-11-25 |
| 1285864017 | Abigail Park | Occupational Therapist | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2009-07-14 |
| 1285806448 | Christina Efthimiadis Seeley | Pediatrics | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2008-03-28 |
| 1164583795 | Roberto Thaddeus Araiza | Pediatrics | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-12-13 |
| 1700945896 | Judith R Smitheran | Speech-Language Pathologist | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-12-06 |
| 1922038355 | Patricia Marie Rosen | Midwife | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-07-03 |
| 1952379570 | Edward H Kleiner | Pediatrics | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1194172817 | Jessica Curtin | Physician Assistant | 1640 Old Pecos Trl Ste H, Santa Fe, NM 87505-4777 | 2016-05-23 |
| 1003132093 | Mitchell Constant | Physician Assistant | 1640 Old Pecos Trail, Suite H, Health Front, PC, Santa Fe, NM 87505 | 2010-04-15 |
| 1710137658 | Carolyn A. Bauer | Physician Assistant | 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 | 2008-09-29 |
| 1851572655 | Claire Joan Antoszewski | Physician Assistant | 453 1/2 Amado St, Santa Fe, NM 87501-3700 | 2007-11-20 |
| 1801086111 | Georgette M Cooper | Physician Assistant | 1301 Declovina St, Santa Fe, NM 87505-3215 | 2007-08-01 |
| 1053398636 | Kimberly A Berge | Physician Assistant | 433 St Michaels Dr, Santa Fe, NM 87505 | 2005-12-27 |
| 1194389247 | Alyssa K Broatch | Physician Assistant | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-04-24 |
| 1043795909 | Darina Linnik | Physician Assistant | 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 | 2018-09-26 |
| 1497266019 | Lisa Ann Wermeling | Physician Assistant | 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 | 2017-10-23 |
| Find all providers in SANTA FE | ||||
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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.