MS. ALICIA LAJUAN MEDINA (NPI# 1164856043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164856043 |
| Entity Type | Individual |
| Full Name | MS. ALICIA LAJUAN MEDINA |
| Credential | CRNP |
| Practice Address |
5609 Honeygo Ridge Ct White Marsh MD 21162-3406 |
| Practice Telephone | 4109088861 |
| Mailing Telephone | 4109088861 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R187630 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470731 | Alicia M Medina | Nurse Practitioner | 3540 State Route 59, Ravenna, OH 44266-1352 | 2015-10-21 |
| 1740625391 | Alicia Sabina Medina | Contractor | 6889 Hampton Cir, Gurnee, IL 60031-4019 | 2013-05-08 |
| 1265767511 | Alicia Marie Medina | Licensed Practical Nurse | 130 Curtis St, North Lewisburg, OH 43060-9751 | 2009-10-05 |
| 1073126165 | Alicia Beatriz Medina | Marriage & Family Therapist | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-08-28 |
| 1174169007 | Alicia Medina | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-26 |
| 1285994285 | Alicia Medina | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2012-05-23 |
| 1932331022 | Alicia Caridad Medina | Nurse Practitioner | 10040 Sw 40th St, Miami, FL 33165-3946 | 2009-08-22 |
| Street Address |
5609 HONEYGO RIDGE CT |
| City | WHITE MARSH |
| State | MD |
| Zip Code | 21162-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1063722700 | White Marsh Healthcare Physical Medicine LLC | Chiropractor | 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 | 2010-10-15 |
| 1295881597 | Sandra Shih | Dentist | 5430 Campbell Blvd, Suite 209, White Marsh, MD 21162 | 2007-01-27 |
| 1487769915 | Lorraine Ofori-awuah Md Pa | Clinic/Center | 5430 Campbell Blvd, Ste 214, White Marsh, MD 21162 | 2006-08-21 |
| 1275164139 | Maria Lourdes Evangelista | Nurse Practitioner | 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2020-01-30 |
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1639635584 | Rebecca Dawn Rock | Social Worker | 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 | 2019-02-15 |
| 1508245564 | Watermark Health Services LLC | Home Health | 11511 Ridgedale Dr, White Marsh, MD 21162-1146 | 2015-05-23 |
| Find all providers in zip 21162 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803917 | Ebunoluwa Akinyemi | Nurse Practitioner | 11619 Philadelphia Rd, White Marsh, MD 21162-1310 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WHITE MARSH |
| Zip Code | 21162 |
Please comment or provide details below to improve the information on MS. ALICIA LAJUAN 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.