DAVID MEDINA (NPI# 1598103962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598103962 |
Entity Type | Individual |
Full Name | DAVID MEDINA |
Practice Address |
3015 E Skelly Dr Suite 103 Tulsa OK 74105-6317 |
Practice Telephone | 9187120859 |
Practice Fax Number | 9183886456 |
Mailing Telephone | 9187120859 |
Mailing Fax Number | 9183886456 |
Enumeration Date | 2013-06-07 |
Last Update Date | 2013-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100746170G | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
1558517342 | David O Medina | Dentist | 10925 Magnolia Ave, Riverside, CA 92505-3044 | 2008-08-12 |
1790273712 | David Roberto Medina | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
1568973824 | David Jose Medina | Specialist/Technologist | 33 N Krome Ave, Homestead, FL 33030-6014 | 2017-10-13 |
1518252568 | David J Medina | Psychologist | 11 Calle San Antonio, Rio Grande, PR 00745-3065 | 2011-06-17 |
1427371780 | David Medina | Pharmacist | 75 Nassau Terminal Rd, New Hyde Park, NY 11040-4927 | 2010-03-01 |
1588805824 | David Antonio Medina | Psychiatry & Neurology | 1836 Woodward St, Orlando, FL 32803-4256 | 2009-03-17 |
1457511016 | David Medina | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2008-06-16 |
1346424983 | David Medina | Registered Nurse | 7200 Bancroft Ave Ste 202, Oakland, CA 94605-2471 | 2007-12-18 |
1346436870 | David Alejandro Medina | Dentist | 8915 14th Ave S, Seattle, WA 98108-4813 | 2007-09-18 |
Street Address |
3015 E SKELLY DR SUITE 103 |
City | TULSA |
State | OK |
Zip Code | 74105-6317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205821022 | Manju Kaul | Psychologist | 3015 E Skelly Dr, Suite 135, Tulsa, OK 74105-6317 | 2005-09-19 |
1285294421 | Mary Thomas | Counselor | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-06-19 |
1427614213 | Brittney Zickefoose | Social Worker | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2019-05-16 |
1215452305 | Lorena Isamar Herrera | Case Manager/Care Coordinator | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2017-08-09 |
1295269652 | Bre Campbell | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-12 |
1588197719 | Brittanie Harmon | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-04-05 |
1326570029 | Ignacio Saldana | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-31 |
1790226959 | Kandice Lawson | Case Manager/Care Coordinator | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-20 |
1942741772 | Carrie Roberts | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2017-03-13 |
1063950624 | Breakthrough Family Counseling Services | Community/Behavioral Health | 3015 E Skelly Dr, 211-7, Tulsa, OK 74105-6317 | 2017-02-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
Find all providers in zip 74105 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
Find all providers in TULSA |
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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.