MRS. SHEILA ANN MEDINA (NPI# 1619256518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619256518 |
Entity Type | Individual |
Full Name | MRS. SHEILA ANN MEDINA |
Credential | NP |
Practice Address |
1060 Gaffney Road #7410 Fort Wainwright AK 99703-7400 |
Mailing Address |
Po Box 35458 Fort Wainwright AK 99703-0458 |
Practice Telephone | 9073615603 |
Mailing Telephone | 2404767065 |
Enumeration Date | 2011-08-09 |
Last Update Date | 2011-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0039513 | WI | 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 |
1457890162 | Sheila Lynn Medina | Nurse Practitioner | 1545 E Southlake Blvd Ste 100, Southlake, TX 76092-6465 | 2017-02-14 |
Street Address |
1060 GAFFNEY ROAD #7410 |
City | FORT WAINWRIGHT |
State | AK |
Zip Code | 99703-7400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
Find all providers in zip 99703 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700857034 | Danilo C. Motas | Nurse Practitioner | 1400 Gaffney Rd, Fort Wainwright, AK 99703-1364 | 2006-01-26 |
1891243374 | Lorna D Newman-hill | Nurse Practitioner | 4076 Neely Rd, Fort Wainwright, AK 99703-1376 | 2016-09-14 |
1285037796 | Tina Syfert | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2014-09-29 |
1093758369 | Audry Marie Torres | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2006-06-14 |
1962472977 | Heather Guess | Nurse Practitioner | 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703-7401 | 2006-01-23 |
1639153091 | Chad Brian Gooderham | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5001 | 2005-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
1134743370 | Matthew G Horgan | Nurse Practitioner | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 | 2020-06-03 |
1417585902 | Shelley Wantaja | Nurse Practitioner | 689 E Eklutna St, Palmer, AK 99645-6116 | 2020-03-30 |
1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
1235789322 | Halley Marie Fondren | Nurse Practitioner | Page Street, Soldotna, AK 99669-2634 | 2019-09-19 |
1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
Find all providers with the same taxonomy |
City | FORT WAINWRIGHT |
Zip Code | 99703 |
Please comment or provide details below to improve the information on MRS. SHEILA ANN 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.