JESSICA ANGELICA MEDINA (NPI# 1699833350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699833350 |
| Entity Type | Individual |
| Full Name | JESSICA ANGELICA MEDINA |
| Other Name | PABLO MEDINA |
| Practice Address |
5540 W Iowa St Tucson AZ 85757-9353 |
| Practice Telephone | 5205789026 |
| Mailing Telephone | 5205789026 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
8797 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711773 | Jessica Nicole Medina | Registered Nurse | 156 W Tahoe Dr, Savannah, GA 31405-9421 | 2019-10-10 |
| 1952911570 | Jessica Cobian Medina | Counselor | 125 W F St, Ontario, CA 91762-3201 | 2020-08-07 |
| 1831699438 | Jessica Lynn Medina | Occupational Therapy Assistant | 216 E Interstate 2 Ste K, Pharr, TX 78577-6505 | 2018-02-20 |
| 1316318082 | Jessica Medina | Social Worker | 9119 S Exchange Ave, Chicago, IL 60617 | 2015-10-07 |
| 1881013027 | Jessica Medina | Pediatrics | 25845 Barton Rd, Loma Linda, CA 92354-3899 | 2014-04-15 |
| 1922441286 | Jessica Medina | Case Manager/Care Coordinator | 8550 Balboa Blvd, Ste 150, Northridge, CA 91325-3562 | 2013-04-16 |
| 1144559188 | Jessica Medina | Optometrist | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2009-12-22 |
| Street Address |
5540 W IOWA ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85757-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262984 | Native Mind LLC | Counselor | 6294 S Eagle Talon Pkwy, Tucson, AZ 85757 | 2019-09-03 |
| 1063977007 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 7490 So Camino De Oeste, Tucson, AZ 85757 | 2019-02-04 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1154786812 | Keith Duane Brock | Counselor | 7426 S Camino Vahcom, Tucson, AZ 85757 | 2015-12-23 |
| 1407285224 | Molly Corral | Occupational Therapist | 7420 West Calle Tetakusim, Tucson, AZ 85757 | 2013-11-02 |
| 1972766889 | Albert Mendoza | Respite Care | 4765 W Nebraksa, Tucson, AZ 85757 | 2008-07-10 |
| 1225209125 | Sarah A Dachtyl | Speech-Language Pathologist | 4900 W Calle Don Roberto, Tucson, AZ 85757 | 2008-03-18 |
| 1073603437 | Traci J Otto | Counselor | 7474 South Camino De Oeste, Tucson, AZ 85757 | 2006-10-13 |
| 1942575089 | Adrienne Marie Figueroa | Pharmacist | 7900 S J Stock Rd, Tucsonh, AZ 85757 | 2012-03-21 |
| 1790961233 | Tim Mark Hannah | Community Based Residential Treatment Facility, Mental Illness | 4901 W Calle Don Alfonso, Tucson, AZ 85757-1422 | 2008-01-15 |
| Find all providers in zip 85757 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1366097073 | Lisa Ann Harper | Respite Care | 6910 N Sanders Rd, Tucson, AZ 85743-8174 | 2019-08-08 |
| 1699329904 | Robin Allen | Respite Care | 9390 N Jessy Ln, Tucson, AZ 85742-9124 | 2019-07-25 |
| 1558859447 | Veronica Molina-hubbard | Respite Care | 3131 W Los Reales Rd, Tucson, AZ 85746-8232 | 2018-04-25 |
| 1154827830 | Ola Mt Bakir | Respite Care | 9503 N Stonebrook Dr, Tucson, AZ 85743-5488 | 2018-04-02 |
| 1922513068 | Casey Partiz | Respite Care | 2625 N Norton Ave, Tucson, AZ 85719-3234 | 2017-12-12 |
| 1619492121 | Marquie L. Walker | Respite Care | 5121 E 29th St Apt 125, Tucson, AZ 85711-5802 | 2017-08-04 |
| 1720532203 | Roseanna Gonzalez | Respite Care | 5545 S Cassia Way, Tucson, AZ 85706-3409 | 2016-08-12 |
| 1871957001 | Arizona's Children Association | Respite Care | 3716 E Columbia St Ste 120, Tucson, AZ 85714-3414 | 2016-04-13 |
| 1902262173 | Luz Vasquez | Respite Care | 1929 S Magnolia Ave, Tucson, AZ 85711-6531 | 2016-01-04 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on JESSICA ANGELICA 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.