CRYSTAL NICHOLE MEDINA (NPI# 1699231464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699231464 |
| Entity Type | Individual |
| Full Name | CRYSTAL NICHOLE MEDINA |
| Credential | LPN |
| Practice Address |
151 N Roadrunner Pkwy Apt 103 Las Cruces NM 88011-7021 |
| Mailing Address |
4708 Rimrock Dr Las Cruces NM 88012-5076 |
| Practice Telephone | 5755710142 |
| Mailing Telephone | 5755710142 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN-22297 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351767 | Crystal Medina | Community Health Worker | 1634 Lynn St, Owosso, MI 48867-3342 | 2020-03-16 |
| 1689111585 | Crystal Medina | Nurse Practitioner | 2233 W Division St, Chicago, IL 60622-8151 | 2017-01-30 |
| 1558625947 | Crystal Medina | Internal Medicine | 2 W Fern Ave, Redlands, CA 92373 | 2012-06-29 |
| Street Address |
151 N ROADRUNNER PKWY APT 103 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-7021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685902 | Help At Home LLC | Nursing Care | 151 N Roadrunner Pkwy Apt 103, Las Cruces, NM 88011-7021 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225448665 | Integrated Healthcare Services, LLC | Licensed Practical Nurse | 9745 Hardrock Rd, Las Cruces, NM 88011-9338 | 2014-05-07 |
| 1699307215 | Michelle Edith Rivera | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-11 |
| 1568005783 | Patricia Maria Dunn | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2019-10-21 |
| 1336704162 | Celeste S Sanchez | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2019-05-07 |
| 1467950840 | Paul Rodriguez | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2018-01-31 |
| 1457869612 | Jessica Manning | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2018-01-22 |
| 1770097701 | Veronica Esquivel | Licensed Practical Nurse | 1090 Med Park Dr, Las Cruces, NM 88005-3236 | 2017-11-29 |
| 1033630306 | Melva Gonzalez | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001 | 2017-06-27 |
| 1013365204 | Gloria Loya | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864778 | Christina Averhart | Licensed Practical Nurse | 6739 Academy Rd Ne Ste 250, Albuquerque, NM 87109-3357 | 2019-11-06 |
| 1760947402 | Jessica Lynn Bell | Licensed Practical Nurse | 997 Player Loop Se, Rio Rancho, NM 87124-5802 | 2019-02-06 |
| 1104399914 | Shannon Bailey | Licensed Practical Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-03 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1598272965 | Soraida Sanchez | Licensed Practical Nurse | 1227 N Railroad Ave Ste C, Espanola, NM 87532-3159 | 2018-01-06 |
| 1700393766 | Stacy Jaque Vigil | Licensed Practical Nurse | 213 Chico Dr, Las Vegas, NM 87701-9511 | 2017-12-29 |
| 1679018683 | Catherine Manus | Licensed Practical Nurse | Hwy 64 Old High School Road, 1199, Shiprock, NM 87420-1199 | 2016-12-29 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1477943009 | Jeremy Martinez | Licensed Practical Nurse | 208 Guachupangue Rd, Espanola, NM 87532 | 2015-02-04 |
| 1750794426 | Lori Y Rodriguez | Licensed Practical Nurse | 1923 Morris Pl, Santa Fe, NM 87505-5466 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on CRYSTAL NICHOLE 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.