KIRSIS MEDINA (NPI# 1558655084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558655084 |
Entity Type | Individual |
Full Name | KIRSIS MEDINA |
Credential | LPN |
Practice Address |
2052 Tillotson Ave 101 Bronx NY 10475-1560 |
Mailing Address |
2052 Tillotson Ave 101 Bronx NY 10475 |
Practice Telephone | 7187612100 |
Mailing Telephone | 7187612100 |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
2052 TILLOTSON AVE 101 |
City | BRONX |
State | NY |
Zip Code | 10475-1560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124155825 | Pioneer Homecare Inc. | Home Health | 2052 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2007-02-28 |
1306481627 | Ehruvwu Akpovogbeta-day | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1583 | 2019-11-11 |
1245764489 | Nkechinyere Nwaoha | Registered Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2017-04-14 |
1083148225 | Adeyemo Dania | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2017-04-14 |
1093176240 | Glenda Willock | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-03-16 |
1386001964 | Serna Simms | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-01-27 |
1063879666 | Simon Opoku | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-01-27 |
1578920195 | Ann Barker-figueroa | Registered Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-01-27 |
1922465517 | Akua Otabil | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-01-27 |
1235596974 | Sharon Newton | Licensed Practical Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2016-01-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
Find all providers in zip 10475 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922559608 | Jadica Alexis Marrero | Technician, Pathology | 100 Einstein Loop Apt 23g, Bronx, NY 10475-4948 | 2016-10-18 |
1669846143 | Marsha Moona | Technician, Pathology | 1263 Fteley Ave, Bronx, NY 10472-2801 | 2015-11-19 |
1679056642 | Djenabou Bah | Technician, Pathology | 391 E 149th St Rm 417, Bronx, NY 10455-3907 | 2018-09-14 |
1689034654 | Walter Xavier Zavala-salas | Technician, Pathology | 593 E Tremont Ave, Bronx, NY 10457 | 2016-03-03 |
1003280470 | Stanley Seetaram | Technician, Pathology | 1263 Fteley Ave, Bronx, NY 10472-2801 | 2015-11-21 |
1093155723 | Zenobia M Colon | Technician, Pathology | 804 E 138th St, Bronx, NY 10454-1902 | 2013-06-26 |
1992142103 | Kam D Brookins | Technician, Pathology | 1510 Waters Pl, Bronx, NY 10461-2700 | 2013-05-29 |
1174836449 | Nydia Lopez | Technician, Pathology | 260 E 161st St, Bronx, NY 10451-3512 | 2010-07-15 |
1588977979 | Darryl S Allen | Technician, Pathology | 1510 Waters Pl, Bronx, NY 10461-2700 | 2010-07-14 |
1851603252 | Diana Valentin | Technician, Pathology | 1510 Waters Pl, Bronx, NY 10461-2700 | 2010-07-14 |
Find all providers in BRONX |
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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.