PATRICIA ANN MEDINA (NPI# 1215439922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215439922 |
Entity Type | Individual |
Full Name | PATRICIA ANN MEDINA |
Credential | ARNP |
Practice Address |
1701 3rd St Se Ste 300 Puyallup WA 98372-4511 |
Mailing Address |
129 Birch St Fircrest WA 98466-6648 |
Practice Telephone | 2536975767 |
Mailing Telephone | 2538798274 |
Enumeration Date | 2018-03-08 |
Last Update Date | 2020-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60838565 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043768567 | Patricia Medina | Occupational Therapist | 664 Vernon St Apt 106, Oakland, CA 94610-1481 | 2016-09-13 |
1447508676 | Patricia E Medina | Lactation Consultant, Non-RN | 9211 Washburn Rd, Downey, CA 90242-2908 | 2012-08-20 |
1366578973 | Patricia Medina | Social Worker | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2007-02-26 |
1528698974 | Patricia Medina | Registered Nurse | 3614 Bill Price Rd, Del Valle, TX 78617-3630 | 2020-01-23 |
1750864757 | Patricia Medina | Counselor | 255 Park Ave Ste 804, Worcester, MA 01609-1984 | 2018-09-14 |
1831623263 | Patricia Ann Medina | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2017-04-12 |
1124117767 | Patricia Medina | Physical Therapist | 8201 37th Ave, 4th Floor, Jackson Heights, NY 11372-7011 | 2006-10-12 |
1639103278 | Patricia Medina | Dietitian, Registered | 345 Ave Hostos, Mopc Veterans Outpatient Clinic, Mayaguez, PR 00680-1507 | 2006-07-10 |
Street Address |
1701 3RD ST SE STE 300 |
City | PUYALLUP |
State | WA |
Zip Code | 98372-4511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538168521 | Robert Jay Frank | Internal Medicine | 1701 3rd St Se Ste 300, Puyallup, WA 98372-4511 | 2005-07-20 |
1962927806 | Jessica Volkman | Nurse Practitioner | 1701 3rd St Se Ste 300, Puyallup, WA 98372-4511 | 2017-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306473103 | Deanna Jaye Mehlhoff | Nurse Practitioner | 18622 94th Avenue Ct E, Puyallup, WA 98375-9644 | 2020-03-24 |
1740824960 | Lisa A Duran | Nurse Practitioner | 2117 27th Pl Se, Puyallup, WA 98372-5145 | 2019-10-30 |
1467093534 | Bridgitte Sims | Nurse Practitioner | 15207 105th Avenue Ct E, Puyallup, WA 98374-9748 | 2019-09-30 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1174070213 | Ericka Marie Gianotto | Nurse Practitioner | 2930 S Meridian Ste 200, Puyallup, WA 98373-1654 | 2016-09-07 |
1174938914 | Janet Howe | Nurse Practitioner | 400 15th Ave Se Ste B, Puyallup, WA 98372-3750 | 2014-06-30 |
1417202656 | Jessica Anne Greb | Nurse Practitioner | 16515 Meridian E Ste 104a, Puyallup, WA 98375-6255 | 2012-07-13 |
1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
1851398739 | Denise R Cummings | Nurse Practitioner | 1002 39th Ave Sw Ste 203, Puyallup, WA 98373-3805 | 2005-07-07 |
Find all providers in PUYALLUP |
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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.