STEPHANIE MEDINA (NPI# 1609320571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609320571 |
| Entity Type | Individual |
| Full Name | STEPHANIE MEDINA |
| Credential | ATC |
| Practice Address |
1936 North St Nacogdoches TX 75965-3940 |
| Practice Telephone | 9364684550 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000026122 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313033 | Stephanie Lyn Medina | Licensed Practical Nurse | 2349 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-10-13 |
| 1760869358 | Stephanie Medina | Emergency Medicine | 2600 Clifton Ave, Cincinnati, OH 45220-2872 | 2015-05-03 |
| 1679044143 | Stephanie Medina | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2018-12-10 |
| 1164998092 | Stephanie Medina | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2018-10-18 |
| 1750868022 | Stephanie Medina | Occupational Therapy Assistant | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-19 |
| 1528562402 | Stephanie Medina | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-03-23 |
| 1528568250 | Stephanie Medina | Occupational Therapy Assistant | 712 N Monroe Ave, Sedgwick, KS 67135-9492 | 2018-02-19 |
| 1205088069 | Stephanie E Medina | Counselor | 920 W Broadway St, Hobbs, NM 88240-5529 | 2008-10-10 |
| Street Address |
1936 NORTH ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891000139 | Loree Mccary | Physical Medicine & Rehabilitation | 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965-3940 | 2010-08-11 |
| 1154802841 | Geneva Diosdado | Specialist/Technologist | 1936 North St, Nacogdoches, TX 75965-3940 | 2018-08-22 |
| 1346744802 | Sydney Dailey | Student in an Organized Health Care Education/Training Program | 1936 North St, Nacogdoches, TX 75965-3940 | 2018-03-20 |
| 1811417785 | Alejandro Rodriguez | Specialist/Technologist | 1936 North St, Nacogdoches, TX 75965-3940 | 2017-06-22 |
| 1437528379 | Jane Grayson | Specialist/Technologist | 1936 North St, Hpe Building, Room 209, Nacogdoches, TX 75965-3940 | 2015-09-22 |
| 1912381047 | Jeff Smith | Specialist/Technologist | 1936 North St, Sfa Athletics, Nacogdoches, TX 75962-0001 | 2015-07-18 |
| 1063727048 | Stephen F Austin State University Sports Medicine | Clinic/Center | 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965-3940 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894561 | Charnaa Dejean | Specialist/Technologist | 1602 Cardinal St Apt 1332b, Nacogdoches, TX 75961-4360 | 2020-02-28 |
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1487285896 | Alejandro Sandoval | Specialist/Technologist | 5222 Northway Dr, Nacogdoches, TX 75965-1440 | 2020-02-04 |
| 1841821253 | John Horn | Specialist/Technologist | 5222 Northway Dr Apt 105, Nacogdoches, TX 75965-1444 | 2020-02-04 |
| 1578194981 | Chance Andrew Evans | Specialist/Technologist | 4704 N University Dr Apt 314, Nacogdoches, TX 75965-2608 | 2020-02-04 |
| 1346895620 | Daniel Anthony Latourelle | Specialist/Technologist | 712 Hayter Street, Nacogdoches, TX 75962-0001 | 2019-08-05 |
| 1043863400 | Shelby Clark | Specialist/Technologist | 4310 Appleby Sand Rd, Nacogdoches, TX 75965-2232 | 2019-07-24 |
| 1568026177 | Brianna Williams | Specialist/Technologist | 1602 Cardinal St Apt 622a, Nacogdoches, TX 75961-4339 | 2019-04-29 |
| 1497250450 | Aubrey Elyse Laurent | Specialist/Technologist | 5623 County Road 817, Nacogdoches, TX 75964 | 2018-03-29 |
| 1275081051 | Kira Rubin | Specialist/Technologist | Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 | 2016-09-21 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on STEPHANIE 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.