MR. MARLON MEDINA (NPI# 1306482658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306482658 |
| Entity Type | Individual |
| Full Name | MR. MARLON MEDINA |
| Practice Address |
1100 Nw 95th St Miami FL 33150-2038 |
| Mailing Address |
3430 Nw 97th St Miami FL 33147-2237 |
| Practice Telephone | 3058356000 |
| Mailing Telephone | 7865977426 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11005222 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 NW 95TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266059 | Daysi Fardales | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2005-06-21 |
| 1215537378 | Garline Bassette | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-10-28 |
| 1285250456 | Li Zhang | Pharmacist | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-06-23 |
| 1427670397 | North Shore Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-05-13 |
| 1740801760 | Rosemanie Baptiste | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-04-30 |
| 1811544331 | Yuritza Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-08-20 |
| 1972065597 | Alice Jean-charles | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-04-02 |
| 1831663681 | Atlantic Anesthesia Group One Pllc | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-01-15 |
| 1265909998 | Jorge Luis Morales | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-10-31 |
| 1447734504 | Brenda Arellano | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722925 | Emma Leon | Nurse Practitioner | 3663 S Miami Ave Fl 33133, Miami, FL 33133-4253 | 2020-02-17 |
| 1447815907 | Aline Paredes | Nurse Practitioner | 150 Se 2nd Ave Ph 5, Miami, FL 33131-1516 | 2019-05-09 |
| 1700358777 | Obunadike Mbanugo | Nurse Practitioner | 10855 Sw 112th Ave Apt 118, Miami, FL 33176-3292 | 2019-01-01 |
| 1528539764 | Jacqueline Iriarte | Nurse Practitioner | 12590 Sw 69th Ct, Miami, FL 33156-6225 | 2018-12-16 |
| 1164888285 | Marien Marban Fernandez | Nurse Practitioner | 3762 Sw 27th Ln, Miami, FL 33134-7222 | 2016-01-05 |
| 1275907594 | Menealth Consulting Services Corp | Nurse Practitioner | 2815 Nw 88th St, Miami, FL 33147-3777 | 2015-11-24 |
| 1649695560 | Pascale Kidane | Nurse Practitioner | 1900 N Bayshore Dr Ste 1a, Miami, FL 33132-3002 | 2014-02-28 |
| 1154746725 | Rebecca Kostopoulos | Nurse Practitioner | 185 Sw 7th St Apt 4207, Miami, FL 33130-2988 | 2014-02-19 |
| 1457775553 | Linda Mays | Nurse Practitioner | 1001 Nw 54th St Ste 103, Miami, FL 33127-1807 | 2014-02-10 |
| 1285874792 | Sylma Maria Millares | Nurse Practitioner | 10250 Sw 56th St Ste C101, Miami, FL 33165-7065 | 2009-02-23 |
| Find all providers in MIAMI | ||||
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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.