JOHANNA MEDINA (NPI# 1407313448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407313448 |
| Entity Type | Individual |
| Full Name | JOHANNA MEDINA |
| Credential | LMSW |
| Practice Address |
8901 Bluewater Rd Nw Albuquerque NM 87121-2024 |
| Mailing Address |
Po Box 25704 Albuquerque NM 87125-0704 |
| Practice Telephone | 5058337540 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
M-09360 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599657 | Johanna Medina | Registered Nurse | 43825 46th St W, Lancaster, CA 93536-2365 | 2019-07-16 |
| Street Address |
8901 BLUEWATER RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225166358 | Eva Buchwald | Social Worker | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-03-01 |
| 1598969875 | Jennifer Jayme | Speech-Language Pathologist | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-06-12 |
| 1184841439 | Lino E Trevinio | Social Worker | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-04-19 |
| 1821121625 | Jean Fetner | Occupational Therapist | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-03-13 |
| 1144353913 | Denise D Durepos | Speech-Language Pathologist | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-03-13 |
| 1043343734 | Sarah Mugavero | Occupational Therapist | 8901 Bluewater Rd Nw, Jimmy Carter Ms, Albuquerque, NM 87121-2024 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427516178 | Rachel M Roth | Social Worker | 305 Truman St Ne, Albuquerque, NM 87108-1318 | 2019-03-12 |
| 1386101905 | Yvonne Amberman | Social Worker | 3100 Jane Pl Ne Apt 106, Albuquerque, NM 87111-5140 | 2019-03-01 |
| 1609355296 | Laura Salinas | Social Worker | 6400 Uptown Blvd Ne Ste 200, Albuquerque, NM 87110-4202 | 2018-08-14 |
| 1992226187 | Iliana S Garcia | Social Worker | 2660 Eastman Ave Se, Albuquerque, NM 87106-9716 | 2017-06-28 |
| 1568992253 | Brittney Nichole Scavo | Social Worker | 7801 Academy Rd Ne Ste 200, Albuquerque, NM 87109-3379 | 2017-06-14 |
| 1508313891 | Jeanette Medina | Social Worker | 7801 Academy Rd Ne Bldg 2, Suite 200, Albuquerque, NM 87109-3379 | 2016-09-05 |
| 1790131530 | Mindy Romero | Social Worker | 12025 Elvin Pl Ne, Albuquerque, NM 87112-3460 | 2016-05-11 |
| 1205291416 | Romaine Serna | Social Worker | 2324 La Vista Ct Nw, Albuquerque, NM 87120-1025 | 2015-12-15 |
| 1962805721 | Nicole Kaufman | Social Worker | 221 Cottonwood Ct Nw, Albuquerque, NM 87107-6633 | 2014-10-07 |
| 1841612595 | Rachel Bowen | Social Worker | 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110-4204 | 2014-01-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on JOHANNA 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.