SANDRA LUTZEN-MEDINA (NPI# 1518336411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518336411 |
| Entity Type | Individual |
| Full Name | SANDRA LUTZEN-MEDINA |
| Credential | LMT, WHE |
| Practice Address |
17 Nadworny Ln Stony Brook NY 11790-2100 |
| Practice Telephone | 6316782122 |
| Mailing Telephone | 6316782122 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 010705-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 174H00000X | Health Educator | 010705-1 | NY | Other Service Providers |
| Street Address |
17 NADWORNY LN |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427210 | Erica Bailey | Health Educator | 10 Clawson St Fl 1, Staten Island, NY 10306-3304 | 2020-11-04 |
| 1154920932 | Yelena Maur | Health Educator | 130 Whitman Ave, Staten Island, NY 10308-3407 | 2020-10-22 |
| 1578162665 | Celeste Pinkston | Health Educator | 2415 Newkirk Ave Apt 3j, Brooklyn, NY 11226-7633 | 2020-10-20 |
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1508476607 | Ww Health Solutions, Inc. | Health Educator | 675 Avenue of The Americas, New York, NY 10010-5100 | 2020-08-04 |
| 1235748732 | Rivel Lozada | Health Educator | 435 Fort Washington Ave Apt 2b, New York, NY 10033-3527 | 2020-07-30 |
| 1790303188 | Desrene James | Health Educator | 1623 Utica Ave, Brooklyn, NY 11234-1524 | 2020-07-11 |
| 1801412309 | Sharifa H Grant | Health Educator | 13 Brewster Ct, Washingtonville, NY 10992-1022 | 2020-06-19 |
| 1215563523 | Julissa Reynoso | Health Educator | 247 W 37th St Fl 9, New York, NY 10018-5193 | 2020-03-18 |
| 1780219444 | Shani A Faure | Health Educator | 11620 168th St, Jamaica, NY 11434-1730 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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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.