MS. DIANA VIOLA MEDINA (NPI# 1447243522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447243522 |
| Entity Type | Individual |
| Full Name | MS. DIANA VIOLA MEDINA |
| Credential | ANP C |
| Practice Address |
3775 Southwestern Blvd Ste A Orchard Park NY 14127 |
| Practice Telephone | 7166671980 |
| Practice Fax Number | 7166671982 |
| Mailing Telephone | 7166671980 |
| Mailing Fax Number | 7166671982 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F303935-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00026761101 | 01 |
| NY | BCBS | 000560866001 | 01 |
| NY | PREFERRED CARE | 147122CG | 01 |
| NY | INDEPENDENT HEALTH | 9512629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903757 | Diana Esther Medina | Technician | 31225 Water Ave, Nuevo, CA 92567-9760 | 2019-10-09 |
| 1285082750 | Diana Yezenia Medina | Case Manager/Care Coordinator | 50 South Anaheim Blvd, Suite 241, Anaheim, CA 92805-2961 | 2016-05-25 |
| 1205478617 | Diana Azucena Medina | Counselor | 7979 Minnesota Rd Apt F, Corona, CA 92881-4316 | 2019-10-17 |
| 1871052290 | Diana Marie Medina | Counselor | 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 | 2019-03-15 |
| 1447748868 | Diana Medina | Technician | 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 | 2018-05-01 |
| 1760886121 | Diana Medina | Psychologist | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2014-10-14 |
| 1023419728 | Diana Medina | Physician Assistant | 11513 N Main St, Jacksonville, FL 32218-4002 | 2014-09-12 |
| 1730296013 | Diana Jeannette Medina | Physical Therapist | 1650 E Walnut St, Ste A, Pasadena, CA 91106-1619 | 2006-08-24 |
| 1003827551 | Diana Marcela Medina | Dentist | 11980 San Vicente Blvd, Suite 505, Los Angeles, CA 90049-5012 | 2006-08-10 |
| 1285678268 | Diana S Medina | Counselor | 3031 Ih 10 W, San Antonio, TX 78201-5159 | 2006-06-16 |
| Street Address |
3775 SOUTHWESTERN BLVD STE A |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013479070 | Sara Ann Fagyas | Nurse Practitioner | 3775 Southwestern Blvd, Orchard Park, NY 14127-2159 | 2019-04-01 |
| 1487882403 | Crystal Marie Ammerman | Physician Assistant | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2009-06-29 |
| 1144461138 | Jessica Anne Dorsey | Massage Therapist | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2009-03-20 |
| 1710164066 | Loubert S Suddaby Md PC | Neurological Surgery | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2008-01-29 |
| 1750412136 | Loubert S Suddaby Md PC | Specialist | 3775 Southwestern Blvd, Suite A, Orchard Park, NY 14127-2159 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437134947 | Charles W Burns | Nurse Practitioner | 6435 Webster Rd, Orchard Park, NY 14127-1835 | 2005-12-08 |
| 1477199560 | Janelle Bellagamba | Nurse Practitioner | 3245 Southwestern Blvd, Orchard Park, NY 14127-1258 | 2019-11-23 |
| 1013479070 | Sara Ann Fagyas | Nurse Practitioner | 3775 Southwestern Blvd, Orchard Park, NY 14127-2159 | 2019-04-01 |
| 1205353067 | Daryl Lindsay Trapper | Nurse Practitioner | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-08-23 |
| 1275551376 | J. Cairn Marrale | Nurse Practitioner | 3055 Southwestern Blvd, Orchard Park, NY 14127-1231 | 2006-07-17 |
| 1386696227 | Rose M Bell | Nurse Practitioner | 3041 Orchard Park Rd, Orchard Park, NY 14127-1238 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.