SHEILA LYNN MEDINA (NPI# 1457890162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457890162 |
Entity Type | Individual |
Full Name | SHEILA LYNN MEDINA |
Credential | NP |
Practice Address |
1545 E Southlake Blvd Ste 100 Southlake TX 76092-6465 |
Practice Telephone | 8174429300 |
Practice Fax Number | 8174160108 |
Mailing Telephone | 8174429300 |
Mailing Fax Number | 8174160108 |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132854 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700290400 | Sheila Medina | Case Manager/Care Coordinator | Carr 863 K M 0.6, Bo Pajaros Candelaria, Toa Baja, PR 00959 | 2014-06-20 |
1619256518 | Sheila Ann Medina | Nurse Practitioner | 1060 Gaffney Road #7410, Fort Wainwright, AK 99703-7400 | 2011-08-09 |
Street Address |
1545 E SOUTHLAKE BLVD STE 100 |
City | SOUTHLAKE |
State | TX |
Zip Code | 76092-6465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194743328 | Jane E.a. Sinsheimer | Physical Therapist | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2006-07-17 |
1003368473 | Erin Goebel | Physical Therapist | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2016-11-01 |
1558817379 | Cassandra Lynn Zivney | Physical Therapist | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2016-08-31 |
1235590753 | Sean Harbour | Nurse Practitioner | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2016-03-10 |
1770952830 | Texas Health Back Care | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2015-09-18 |
1003201005 | Elise Tran | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2015-04-06 |
1467870436 | Mark Bauernfeind | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2014-04-07 |
1194169888 | Richard Zhang | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2013-04-24 |
1942511290 | Neil N Patel | Orthopaedic Surgery | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2010-07-01 |
1073535464 | Theresa J Adame-brooks | Physical Therapist | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2006-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
Find all providers in zip 76092 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417420415 | Elizabeth Murphy | Nurse Practitioner | 1210 N Carroll Ave, Southlake, TX 76092-4512 | 2019-01-02 |
1518432418 | Leslie C. Hatcher | Nurse Practitioner | 418 Southridge Lakes Pkwy, Southlake, TX 76092-5911 | 2018-10-06 |
1801243779 | Mathew Roy | Nurse Practitioner | 1920 E State Highway 114, Southlake, TX 76092-6510 | 2016-05-19 |
1912397233 | Esther Longe | Nurse Practitioner | 2777 E Southlake Blvd, Suite 140, Southlake, TX 76092-8016 | 2015-01-24 |
1760882518 | Parvaneh Barron | Nurse Practitioner | 771 E Southlake Blvd Ste 101, Southlake, TX 76092-1483 | 2014-08-29 |
1124439054 | Jennifer Mcintosh | Nurse Practitioner | 601 E Southlake Blvd Ste 200, Southlake, TX 76092-6248 | 2014-05-13 |
1811160062 | Gwen Tinkis | Nurse Practitioner | 1050 E Hwy 114, Suite 100, Southlake, TX 76092-5242 | 2008-04-09 |
1689740656 | Mesobella | Nurse Practitioner | 731 E Southlake Blvd # 180, Southlake, TX 76092-6377 | 2006-11-28 |
1952320483 | Tricia M Lawler | Nurse Practitioner | 620 N. Kimball Ave, Suite 100, Southlake, TX 76092 | 2006-07-18 |
1750306882 | Stephanie Swanson | Nurse Practitioner | 1125 Davis Blvd Ste 100, Southlake, TX 76092 | 2006-07-12 |
Find all providers in SOUTHLAKE |
Please comment or provide details below to improve the information on SHEILA LYNN 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.