CARMEN MEDINA (NPI# 1285899856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285899856 |
| Entity Type | Individual |
| Full Name | CARMEN MEDINA |
| Credential | CSP |
| Practice Address |
26 Queen St Worcester MA 01610-2473 |
| Practice Telephone | 5088607700 |
| Practice Fax Number | 5088607990 |
| Mailing Telephone | 5088607700 |
| Mailing Fax Number | 5088607990 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770023251 | Carmen Teresa Medina | Physical Therapist | 1283 Calle 54 Se, Urb La Riviera, San Juan, PR 00921-3144 | 2017-03-02 |
| 1508169673 | Carmen Enid Medina | Speech-Language Pathologist | 2340 Andrews Ave, Bronx, NY 10468-6001 | 2010-12-13 |
| 1386747293 | Carmen Medina | Occupational Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2006-09-06 |
| 1548776339 | Carmen E Medina | Behavior Technician | 7570 Sw 82nd St Apt F110, Miami, FL 33143-7395 | 2017-12-16 |
| 1215207444 | Carmen Alexandra Medina | Chiropractor | 507 S L Rogers Wells Blvd, Ste A, Glasgow, KY 42141-1043 | 2012-01-04 |
| Street Address |
26 QUEEN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
| 1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
| 1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
| 1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
| 1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
| 1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322784 | Margaret Karimi | Case Manager/Care Coordinator | 376 Sunderland Rd Apt 23, Worcester, MA 01604-2512 | 2019-08-22 |
| 1326692260 | Farah Gay | Case Manager/Care Coordinator | 2 Duncannon Ave Apt 11, Worcester, MA 01604-5139 | 2019-07-29 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1700149820 | Joanne Finnegan | Case Manager/Care Coordinator | 340 Main St Ste 819, Worcester, MA 01608-1665 | 2012-06-22 |
| 1851618896 | Debra A Schnare | Case Manager/Care Coordinator | 70 Elm St Ste 103, Worcester, MA 01609-2300 | 2010-04-30 |
| 1386975142 | William H Hockenhull | Case Manager/Care Coordinator | 70 Elm St, 103, Worcester, MA 01609-2300 | 2010-01-19 |
| 1871751578 | Laurie Ann Majka | Case Manager/Care Coordinator | 243 Millbury St, Worcester, MA 01610-2177 | 2008-05-29 |
| 1205998028 | Erica Elizabeth Rogan | Case Manager/Care Coordinator | 337 Main Street, Suite 320 South Bay Mental Health, Worcester, MA 01608 | 2006-12-15 |
| 1174189260 | Evan Polakowski | Case Manager/Care Coordinator | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-14 |
| 1104300979 | Michelle White | Case Manager/Care Coordinator | 237 Millbury St, Worcester, MA 01610-2177 | 2018-09-18 |
| Find all providers in WORCESTER | ||||
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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.