ADRIANA MEDINA (NPI# 1902390685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902390685 |
| Entity Type | Individual |
| Full Name | ADRIANA MEDINA |
| Practice Address |
5 Arroyo Conchas Placitas NM 87043-9500 |
| Practice Telephone | 5054006525 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8920 Holly Ave Ne Ste 102b, Albuquerque, NM 871222989 | 5058566880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458043 | Adriana Medina | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-10-10 |
| 1851958904 | Adriana Medina | Behavior Technician | 9197 W 6th Ave Ste 1000, Lakewood, CO 80215-5109 | 2019-05-23 |
| 1891155479 | Adriana Alicia Medina | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2016-02-25 |
| 1760864565 | Adriana Medina | Optometrist | Hospital Drive Off Highway 191, Chinle, AZ 86503-8000 | 2015-06-29 |
| 1316104136 | Adriana Medina | Internal Medicine | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2008-05-20 |
| Street Address |
5 ARROYO CONCHAS |
| City | PLACITAS |
| State | NM |
| Zip Code | 87043-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690234 | M Candis Mcguire Westby | Social Worker | 102 Vista Montana Loop, Placitas, NM 87043 | 2006-11-30 |
| 1043380041 | Judith Acosta | Social Worker | 16 Roadrunner Trail, Placitas, NM 87043 | 2006-11-08 |
| 1275562548 | Shara Moscinska | Counselor | 3 Homesteads Rd., Suite E, Placitas, NM 87043 | 2006-06-30 |
| 1922084201 | Rachael H Tingen | Dentist | 3 Homesteads Rd, Bldg. B, Placitas, NM 87043 | 2005-12-19 |
| 1861889354 | Justin Woods | Family Medicine | 10 Avenida Fresca, Placitas, NM 87043-8003 | 2015-04-22 |
| 1093043283 | Nadine Marie Hober | Nurse Practitioner | 25 Llano Del Norte, Placitas, NM 87043-8306 | 2009-11-26 |
| 1669773339 | Aaron Foster | Counselor | 9 Wildflower Ct, Placitas, NM 87043-8337 | 2010-11-10 |
| 1790789493 | Josef Nisenbaum | Radiology | 126 Diamond Tail Rd, Placitas, NM 87043-8338 | 2005-06-09 |
| 1518366434 | Irene Gale | Pharmacist | 3 Maize Trl, Placitas, NM 87043-8339 | 2014-08-15 |
| 1700218526 | Audrey Susan Petzold | Occupational Therapist | 32 Cuchilla De Lupe Rd, Placitas, NM 87043-8716 | 2013-08-02 |
| Find all providers in zip 87043 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186076 | Ohica-hadiya Ali | Day Training/Habilitation Specialist | 12700 Constitution Ave Ne Apt 9, Albuquerque, NM 87112-6067 | 2020-08-25 |
| 1720690092 | Kenneth Justin Schwartz | Day Training/Habilitation Specialist | 2319 Margarita Dr Se, Rio Rancho, NM 87124-2699 | 2020-08-18 |
| 1003424995 | Laetitia Marie Lucero | Day Training/Habilitation Specialist | 17c Lomas De La Cruz, Espanola, NM 87532-9048 | 2020-07-16 |
| 1265050256 | Aiyanna Amanda Woods-clark | Day Training/Habilitation Specialist | 440 Erbbe St Ne, Albuquerque, NM 87123-1138 | 2020-07-07 |
| 1821615923 | Ashlee Laughlin | Day Training/Habilitation Specialist | 420 Idalia Rd Sw, Rio Rancho, NM 87124-0845 | 2020-07-06 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1053960757 | Rachael Lauren Corchine | Day Training/Habilitation Specialist | 6401 Santa Monica Ave Ne Apt 2086, Albuquerque, NM 87109-4166 | 2019-09-05 |
| 1457909095 | Naketta Jean Wiley | Day Training/Habilitation Specialist | 7709 Amy Marie Ct Nw, Albuquerque, NM 87120-6543 | 2019-08-27 |
| 1194371948 | Lorena Luevano | Day Training/Habilitation Specialist | 10600 Andalusian Ave Sw, Albuquerque, NM 87121-8949 | 2019-08-16 |
| 1609420223 | Ru'a Maadi | Day Training/Habilitation Specialist | 1200 Avenida Cesar Chavez Se Apt 423, Albuquerque, NM 87106-3902 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADRIANA 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.