JENNIFER LEA MEDINA (NPI# 1659745164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659745164 |
| Entity Type | Individual |
| Full Name | JENNIFER LEA MEDINA |
| Credential | NP |
| Practice Address |
115 E Riverwalk Unit 200 Pueblo CO 81003-3308 |
| Mailing Address |
Po Box 7702 Loveland CO 80537-0702 |
| Practice Telephone | 7195438346 |
| Practice Fax Number | 9706670847 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9706670847 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015001624 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668634 | Jennifer Boyajian Medina | Dentist | 235 Peruvian Ave, Palm Beach, FL 33480-4695 | 2008-05-01 |
| 1326647124 | Jennifer Medina | Behavior Technician | 333 University Ave Ste 200, Sacramento, CA 95825-6540 | 2020-10-22 |
| 1902422801 | Jennifer Medina | Student in an Organized Health Care Education/Training Program | 3333 Regis Blvd, Denver, CO 80221-8926 | 2020-06-17 |
| 1245871474 | Jennifer Medina | Dental Hygienist | 126 Audubon Ave, Braintree, MA 02184-2352 | 2019-09-29 |
| 1609326925 | Jennifer Joanne Medina | Licensed Practical Nurse | 502 Court St, Suite 210, Utica, NY 13502-4236 | 2016-10-11 |
| 1821454745 | Jennifer Marie Medina | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2016-01-07 |
| 1356685689 | Jennifer Medina | Social Worker | 12440 Firestone Blvd, Suite 1000, Norwalk, CA 90650-4328 | 2012-11-27 |
| 1144513821 | Jennifer Elaine Medina | Clinical Neuropsychologist | 3333 S Bannock St, Ste 435, Englewood, CO 80110-2432 | 2011-05-27 |
| 1760791537 | Jennifer Lynn Medina | Counselor | 1225 Crane St, Ste 205, Menlo Park, CA 94025-4257 | 2010-09-28 |
| Street Address |
115 E RIVERWALK UNIT 200 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417929373 | Gordon F Gibbs | Radiology | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2006-02-06 |
| 1992900781 | Timothy Joseph Cawlfield | Family Medicine | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
| 1902435506 | Brandi Lanae Trujillo | Nurse Practitioner | 3107 E Spaulding Ave Unit 202, Pueblo, CO 81008-5219 | 2020-04-06 |
| 1346883097 | Parkview Ancillary Services | Nurse Practitioner | 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 | 2019-10-25 |
| 1326535618 | Amanda Michelle Meade | Nurse Practitioner | 201 Lamkin St Apt 101, Pueblo, CO 81003-3558 | 2018-04-23 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1255865713 | Ideal Family Medicine, Ltd | Nurse Practitioner | 2016 S Pueblo Blvd, Pueblo, CO 81005-2546 | 2017-04-11 |
| 1154861995 | Jade Bryant | Nurse Practitioner | 1910 Lake Ave, Pueblo, CO 81004-3322 | 2017-02-27 |
| 1558811950 | Jane Graham | Nurse Practitioner | 1225 N Grand Ave, Pueblo, CO 81003-2845 | 2016-10-10 |
| 1124397559 | Michelle Leann Hartke | Nurse Practitioner | 1619 N Greenwood St Ste 208, Pueblo, CO 81003-2656 | 2011-12-14 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| Find all providers in PUEBLO | ||||
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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.