JENNIFER ELAINE MEDINA (NPI# 1144513821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144513821 |
| Entity Type | Individual |
| Full Name | JENNIFER ELAINE MEDINA |
| Credential | PH.D |
| Practice Address |
3333 S Bannock St Ste 435 Englewood CO 80110-2432 |
| Practice Telephone | 7209070420 |
| Mailing Telephone | 7209070420 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY.0004192 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668634 | Jennifer Boyajian Medina | Dentist | 235 Peruvian Ave, Palm Beach, FL 33480-4695 | 2008-05-01 |
| 1326647124 | Jennifer Medina | Behavior Technician | 333 University Ave Ste 200, Sacramento, CA 95825-6540 | 2020-10-22 |
| 1902422801 | Jennifer Medina | Student in an Organized Health Care Education/Training Program | 3333 Regis Blvd, Denver, CO 80221-8926 | 2020-06-17 |
| 1245871474 | Jennifer Medina | Dental Hygienist | 126 Audubon Ave, Braintree, MA 02184-2352 | 2019-09-29 |
| 1609326925 | Jennifer Joanne Medina | Licensed Practical Nurse | 502 Court St, Suite 210, Utica, NY 13502-4236 | 2016-10-11 |
| 1821454745 | Jennifer Marie Medina | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2016-01-07 |
| 1659745164 | Jennifer Lea Medina | Nurse Practitioner | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2015-11-20 |
| 1356685689 | Jennifer Medina | Social Worker | 12440 Firestone Blvd, Suite 1000, Norwalk, CA 90650-4328 | 2012-11-27 |
| 1760791537 | Jennifer Lynn Medina | Counselor | 1225 Crane St, Ste 205, Menlo Park, CA 94025-4257 | 2010-09-28 |
| Street Address |
3333 S BANNOCK ST STE 435 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464659 | Susan Betz | Occupational Therapist | 3333 S Bannock St, Suite 770, Englewood, CO 80110-2432 | 2005-06-02 |
| 1861942039 | Surgone, PC | Surgery | 3333 S Bannock St, Suite 605, Englewood, CO 80110-2432 | 2016-10-11 |
| 1154724938 | Hugh Holleman Macaulay IIi | Family Medicine | 3333 S Bannock St, Suite 810, Englewood, CO 80110-2432 | 2014-10-07 |
| 1194143263 | Family Tree Wellness Institute, LLC. | Point of Service | 3333 S Bannock St, Suite 235, Englewood, CO 80110-2432 | 2014-04-04 |
| 1457772162 | Traumaone, Pllc | Surgery | 3333 S Bannock St, Suite #350, Englewood, CO 80110-2432 | 2013-12-23 |
| 1821356668 | Maria Zennifer Pascual Schwab | Occupational Therapist | 3333 S Bannock St, #770, Englewood, CO 80110-2432 | 2012-04-30 |
| 1003065384 | Hand Therapy of Colorado, LLC | Clinic/Center | 3333 S Bannock St, Suite 770, Englewood, CO 80110-2432 | 2008-09-11 |
| 1073701678 | Hand Therapy of Colorado, LLC | Durable Medical Equipment & Medical Supplies | 3333 S Bannock St, Suite 770, Englewood, CO 80110-2432 | 2007-10-09 |
| 1255457503 | Kathleen E Voss | Physical Therapist | 3333 S Bannock St, Ste 770, Englewood, CO 80110-2450 | 2007-03-21 |
| 1407944507 | Donald J Conner | Surgery | 3333 S Bannock St, Suite 605, Englewood, CO 80110-2432 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102790 | Emily Claire Maxwell | Clinical Neuropsychologist | 10111 Inverness Main St Unit 417, Englewood, CO 80112-5727 | 2018-08-06 |
| 1649674524 | Jennifer E Medina Phd PC | Clinical Neuropsychologist | 3333 S Bannock St Ste 1010, Englewood, CO 80110-2432 | 2014-10-21 |
| 1316238611 | Kevin J. Reilly, Psy.d.,p.c. | Clinical Neuropsychologist | 601 E Hampden Ave Ste 420, Englewood, CO 80113-2770 | 2011-04-21 |
| 1144389172 | Colorado Center for Neurological Rehabilitation Inc | Clinical Neuropsychologist | 7400 E Arapahoe Road, Suite 212, Englewood, CO 80112 | 2006-12-06 |
| 1972525848 | Kenneth Craig Kutner | Clinical Neuropsychologist | 440 Curry Ave Ste B, Englewood, NJ 07631-1794 | 2006-07-23 |
| 1528087244 | Kevin J Reilly | Clinical Neuropsychologist | 601 East Hampden Avenue, Suite 420, Englewood, CO 80113 | 2006-07-19 |
| 1730118571 | Hasson Psychological Group LLC | Clinical Neuropsychologist | 185 Engle St Fl 2, Englewood, NJ 07631-2409 | 2006-07-02 |
| 1952365462 | Jay Schneiders | Clinical Neuropsychologist | 3601 S Clarkson St Ste 530, Englewood, CO 80113-3949 | 2006-04-12 |
| 1922648328 | Heather Snead | Clinical Neuropsychologist | 499 E Hampden Ave Ste 360, Englewood, CO 80113-3877 | 2020-01-14 |
| 1730637489 | James C. Berry, Phd, LLC | Clinical Neuropsychologist | 3425 S Clarkson St, Englewood, CO 80113-2811 | 2016-09-12 |
| Find all providers in ENGLEWOOD | ||||
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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.