YVONNE MEDINA (NPI# 1922591163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591163 |
| Entity Type | Individual |
| Full Name | YVONNE MEDINA |
| Credential | LPN |
| Practice Address |
6040 Southport Dr Bethesda MD 20814-1848 |
| Practice Telephone | 3014934200 |
| Practice Fax Number | 3014936209 |
| Mailing Telephone | 3014934200 |
| Mailing Fax Number | 8884968354 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP53314 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446263 | Yvonne Medina | Behavioral Analyst | 13101 W Washington Blvd Ste 238, Los Angeles, CA 90066 | 2020-01-14 |
| 1205152360 | Yvonne Medina | Counselor | 2629 Clarendon Ave, Huntington Park, CA 90255-4119 | 2010-04-14 |
| Street Address |
6040 SOUTHPORT DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
| 1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
| 1881122034 | Jaline Gilliam | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2017-06-01 |
| 1871044784 | Agerie Ejigu | Nurse Practitioner | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-10-17 |
| 1619425865 | Rosa Moudene | Registered Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-09-16 |
| 1679923833 | Alexandra Friedman | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-20 |
| 1104276955 | Kathleen Kirk | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-13 |
| 1609239789 | Emily Picon | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-04-05 |
| 1124491543 | James Ladner | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-11-06 |
| 1326410234 | Cornerstone Montgomery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| 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 |
|---|---|---|---|---|
| 1336404094 | Jill M Horn | Licensed Practical Nurse | 39816 Repik Rd, Bethesda, OH 43719-9730 | 2012-07-09 |
| 1013207448 | Jessica Lynn Craig | Licensed Practical Nurse | 39271 Dory Mill Rd, Bethesda, OH 43719-9725 | 2011-04-19 |
| 1932439940 | Anita J Whiteley | Licensed Practical Nurse | 64129 North Johnson Road, Bethesda, OH 43719 | 2010-01-14 |
| 1518422070 | Trista J Archer | Licensed Practical Nurse | 40060 National Rd, Bethesda, OH 43719-9763 | 2019-02-08 |
| 1740704345 | Tina Louise Hatcher | Licensed Practical Nurse | 111 Maple Ave, Bethesda, OH 43719-9771 | 2017-07-26 |
| 1235526633 | Deborah Wallace | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-04-23 |
| 1760899025 | Latoya Woodroffe | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2014-07-18 |
| 1598192809 | Darmawai Salley | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2013-10-01 |
| 1003150772 | April Dawn Pyles | Licensed Practical Nurse | 39271 Dory Mill Rd, Bethesda, OH 43719-9725 | 2012-11-19 |
| 1477846723 | Joanne Marie Lucas | Licensed Practical Nurse | 222 Maple Ave, Bethesda, OH 43719-9609 | 2011-05-19 |
| Find all providers in BETHESDA | ||||
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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.