IRIS MEDINA


Address: 32 Forest St, Lawrence, MA 01841-3307
Phone: 9782593305

IRIS MEDINA (NPI# 1134686462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134686462
Entity Type Individual
Full Name IRIS MEDINA
Other Name IRIS MEDINA
Practice Address 32 Forest St
Lawrence
MA 01841-3307
Practice Telephone 9782593305
Mailing Telephone 9782593305
Enumeration Date 2019-02-22
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 32 FOREST ST
City LAWRENCE
State MA
Zip Code 01841-3307

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326502501 Toby Lazerson Social Worker 135 Butler Street, Bruce School, Lawrence, MA 01841 2019-01-22
1376038414 Maggie Townsend Physical Therapist 172 Lawrence Street, Lawrence, MA 01841 2018-06-29
1265941678 Melvinson Polanco Psychologist 170 Sanborn St, Lawrence, MA 01841 2017-09-28
1407385834 Lawrence Health Solutions, LLC Clinic/Center 25 Marston St., Suite 105, Lawrence, MA 01841 2017-06-08
1619419652 Helen Santos Social Worker 5 Colby St, Lawrence, MA 01841 2016-11-08
1740737329 James Michael Torres Social Worker 439 S. Union Street, Larwrence, MA 01841 2016-09-01
1588010003 Michael Castillo Counselor 274 East Haverhill St, Lawrence, MA 01841 2016-05-13
1619379351 Marlene Reyes Psychologist 27 Clarke St, Lawrence, MA 01841 2014-09-25
1982016762 Erica Vasquez Counselor 590 Canal Street, Lawrence, MA 01841 2014-05-28
1538500202 Azadeh Suppappola Optometrist 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 2013-07-10
Find all providers in zip 01841

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649804709 Arielle Rosenblatt Student in an Organized Health Care Education/Training Program 263 Pearsall Pl, Lawrence, NY 11559-1520 2020-02-27
1205466703 Jean A Schrow Student in an Organized Health Care Education/Training Program 350 Merrimack Street Bldg 5, Lawrence, MA 01843 2020-01-23
1164060208 Beth Rapp Student in an Organized Health Care Education/Training Program 65 Harborview W, Lawrence, NY 11559-1911 2019-12-19
1326509639 David Rogers Student in an Organized Health Care Education/Training Program 3016 Flint Dr, Lawrence, KS 66047-2709 2019-03-28
1144789835 Matthew James Franks Student in an Organized Health Care Education/Training Program 1043 Indiana St Apt 102, Lawrence, KS 66044-3092 2019-03-13
1104383603 Amanda Koenigsman Student in an Organized Health Care Education/Training Program 1016 Maine St, Lawrence, KS 66044-2946 2019-02-21
1376000885 Cassandra Marie Arrington Student in an Organized Health Care Education/Training Program 1600 Oxford Rd, Lawrence, KS 66044-2522 2019-02-21
1194282608 Austin John Zuniga Student in an Organized Health Care Education/Training Program 2600 W 6th St Apt A5, Lawrence, KS 66049-4320 2019-02-21
1558828053 Connor Hawkins Student in an Organized Health Care Education/Training Program 2500 W 6th St Apt 103, Lawrence, KS 66049-2403 2019-02-21
1659838159 Marissa Brianne Dorsey Student in an Organized Health Care Education/Training Program 4100 W 24th Pl Apt E24, Lawrence, KS 66047-2028 2019-02-21
Find all providers in LAWRENCE

Competitor

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City LAWRENCE
Zip Code 01841

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Dataset Information

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.

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