IRIS MEDINA (NPI# 1134686462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
32 FOREST ST |
City | LAWRENCE |
State | MA |
Zip Code | 01841-3307 |
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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
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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.