SHEILA LYNN MEDINA


Address: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465
Phone: 8174429300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP132854 TX Physician Assistants & Advanced Practice Nursing Providers

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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

Office Location

Street Address 1545 E SOUTHLAKE BLVD STE 100
City SOUTHLAKE
State TX
Zip Code 76092-6465

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SOUTHLAKE
Zip Code 76092

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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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