MS. FAWN ERIN MEDINA (NPI# 1518401629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518401629 |
| Entity Type | Individual |
| Full Name | MS. FAWN ERIN MEDINA |
| Credential | RN |
| Practice Address |
2920 Wilson Avenue Bronx NY 10469 |
| Practice Telephone | 3472815313 |
| Mailing Telephone | 3472815313 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
616240-1 | NY | Nursing Service Providers |
| Street Address |
2920 WILSON AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
| 1598142572 | James Antoine Beauzile | Registered Nurse | 501 East 161st Street, Apt. 9e, Bronx, NY 10451 | 2015-04-29 |
| 1295078483 | Jericka Daniels | Registered Nurse | 2426 Lurting Ave, Bronx, NY 10469-4404 | 2013-04-05 |
| 1194741769 | Esmine Marcia Mclean | Registered Nurse | 16 Westchester Sq, Bronx, NY 10461-3513 | 2006-07-15 |
| 1497352702 | Shahara Flowers | Registered Nurse | 477 Willis Ave, Bronx, NY 10455-4015 | 2020-10-08 |
| 1376017632 | Ryan Angela Dimayuga | Registered Nurse | 1400 Pelham Parkway South, Bldg 1, 9 West, Bronx, NY 10461 | 2019-01-18 |
| 1003328923 | Iluminada Legaspi | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-11-01 |
| 1679085930 | Ana Gallardo | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-10-26 |
| 1467982173 | Nicole Felix II | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2017-06-14 |
| 1669891669 | Adaly Acosta | Registered Nurse | 260 E 161st St, Bronx, NY 10451-3512 | 2014-04-08 |
| Find all providers in BRONX | ||||
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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.