MICHELLE M MEDINA (NPI# 1376142679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376142679 |
| Entity Type | Individual |
| Full Name | MICHELLE M MEDINA |
| Credential | CSW |
| Practice Address |
1001 W Broadway Ste D Farmington NM 87401-5638 |
| Practice Telephone | 5053250238 |
| Mailing Telephone | 5053250238 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| 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 |
|---|---|---|---|---|
| 1255821708 | Michelle Medina | Assistant Behavior Analyst | 660 W 56th St, Hialeah, FL 33012-6501 | 2018-05-10 |
| 1285243139 | Michelle Kay Medina | Social Worker | 412 S Palmetto Ave, Daytona Beach, FL 32114-4922 | 2020-07-27 |
| 1922627660 | Michelle Marie Medina | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1023588126 | Michelle Lynn Medina | Student in an Organized Health Care Education/Training Program | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-11-30 |
| 1962979898 | Michelle Natalie Medina | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2018-10-29 |
| 1154837557 | Michelle Medina | Acupuncturist | 729 El Cerrito Plz, El Cerrito, CA 94530-4022 | 2017-12-20 |
| 1659800423 | Michelle Medina | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-06-06 |
| 1699227165 | Michelle Medina | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2016-10-31 |
| 1790175107 | Michelle Marie Medina | Chiropractor | 272 Calle Marginal, Suite 2, Hatillo, PR 00659-2421 | 2015-01-23 |
| 1124330329 | Michelle Medina | Nurse Anesthetist, Certified Registered | 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 | 2010-07-06 |
| Street Address |
1001 W BROADWAY STE D |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132356 | Darren Powell | Counselor | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2005-08-24 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| 1255952826 | Breanna Smith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-05-05 |
| 1518506724 | Joni J Duran | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-01-06 |
| 1144867706 | Marlene Jim | Behavioral Analyst | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-12-03 |
| 1417503483 | James Andrew Bigham | Nurse Practitioner | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-08-14 |
| 1679125124 | Joshua Norris Powell | Social Worker | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-07-15 |
| 1043870330 | Karen A Silversmith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-18 |
| 1215595343 | Summer Popplewell | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-04 |
| 1023596640 | Jessica Hernandez | Behavioral Analyst | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2018-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1245872498 | Shannon Haley Kirkness | Case Manager/Care Coordinator | 4 Cope Farms Rd, Farmington, CT 06032-3153 | 2019-10-09 |
| 1629564091 | Kaibah Gorman | Case Manager/Care Coordinator | 815 W Apache St, Farmington, NM 87401-5527 | 2018-07-09 |
| 1013456243 | Adam Blum | Case Manager/Care Coordinator | 876 Electric St, Farmington, MO 63640-9215 | 2017-02-21 |
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1134546526 | Georgina Guadalupe Hernandez I | Case Manager/Care Coordinator | 818 E Main St Trlr 91, Farmington, NM 87401-2734 | 2014-03-24 |
| 1417298746 | Chelsie Lynn Stewart | Case Manager/Care Coordinator | 807 W. Apache, Farmington, NM 87401 | 2013-03-12 |
| 1336406479 | Lavee Keoni | Case Manager/Care Coordinator | 807 W Apace St, Farmington, NM 87401 | 2012-04-13 |
| 1255651998 | Megan Hill | Case Manager/Care Coordinator | 1615 Ojo Ct., Farmington, NM 87401 | 2010-06-04 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| 1225653066 | Mia K Eisenfeld | Case Manager/Care Coordinator | 807 W Apache St, Farmington, NM 87401-5527 | 2020-06-08 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on MICHELLE M 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.