DONNA ELIZABETH MEDINA (NPI# 1275007353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275007353 |
| Entity Type | Individual |
| Full Name | DONNA ELIZABETH MEDINA |
| Credential | LADC |
| Practice Address |
30 W Main St Niantic CT 06357-2340 |
| Practice Telephone | 8606910873 |
| Mailing Telephone | 8606910873 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
001224 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164619722 | Donna Denise Medina | Specialist/Technologist, Other | 7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053 | 2007-09-27 |
| Street Address |
30 W MAIN ST |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356767552 | Jordan Roberts | Marriage & Family Therapist | 30 W Main St, Niantic, CT 06357-2340 | 2014-03-12 |
| 1740578830 | Oceanside Recovery LLC | Nurse Practitioner | 30 W Main St, Niantic, CT 06357-2340 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094401 | Pamela Dhillon | Nurse Practitioner | 215 West Main St, Niantic, CT 06357 | 2011-08-16 |
| 1841454485 | Richard Frederick Jones IIi | Obstetrics & Gynecology | 224 Old Balck Point Rd, Niantic, CT 06357 | 2008-07-14 |
| 1437224771 | Margaret C Barili | Registered Nurse | 369 Main Street, Niantic, CT 06357 | 2006-11-21 |
| 1720163942 | Carole C Olson | Psychologist | 4 N. Pine Street, Ninantic, CT 06357 | 2006-10-26 |
| 1427151513 | Melvin Harold Engel | Family Medicine | 50 Green Cliff Drive, Niantic, CT 06357 | 2006-09-06 |
| 1457304420 | Michele Nadine Litwin | Nurse Practitioner | 30 W Main Street, Niantic, CT 06357 | 2006-05-18 |
| 1487133906 | Ryne Mcmullen | Physical Therapist | 11 Freedom Way Unit B2, Niantic, CT 06357 | 2018-08-07 |
| 1558720854 | Bodhi Naturopathic LLC | Naturopath | 17 Hope Street, Nianic, CT 06357 | 2016-02-15 |
| 1477980480 | Heather Michelle Rynkowski | Physician Assistant | 365 Montauk Ave, Office # 3.525, New London, CT 06357 | 2013-10-04 |
| 1245662592 | Erica L Lussier | Nurse Practitioner | 248 Flanders Rd, Niantic, CT 06357 | 2013-08-08 |
| Find all providers in zip 06357 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881965440 | Tracey Dineen-hutchins | Counselor | 22 Pennslyvania Ave, Suite 8, Niantic, CT 06357-3231 | 2012-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737735 | Southbury Adolescent and Young Adult Counseling Center LLC | Counselor | 385 Main St S Ste 217, Southbury, CT 06488-4246 | 2020-10-15 |
| 1821696675 | Bunny Catherina Rodriguez | Counselor | 60 Lake Rd, North Branford, CT 06471-1252 | 2020-10-14 |
| 1780282681 | Marcie Rivera | Counselor | 47 Coit St, New London, CT 06320-5924 | 2020-10-13 |
| 1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
| 1952912271 | Patience Ashong | Counselor | 191 High Ridge Dr, Bridgeport, CT 06606-4965 | 2020-08-11 |
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1710505284 | Alfred Levi Greenleaf Jr. | Counselor | 51 Maheu St, Bristol, CT 06010-3051 | 2020-07-10 |
| 1316560089 | Sean Thomas Marcil | Counselor | 1776 Meriden Rd Rear Unitb, Wolcott, CT 06716-3341 | 2020-05-28 |
| 1396365706 | Angela M Massiello | Counselor | 192 Maple Ave, Uncasville, CT 06382-2018 | 2020-04-26 |
| 1750901005 | A Better Day Counseling Center LLC | Counselor | 403 New Litchfield St, Torrington, CT 06790-6640 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DONNA ELIZABETH MEDINA.
| 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.