BRENDA MEDINA (NPI# 1962995597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962995597 |
| Entity Type | Individual |
| Full Name | BRENDA MEDINA |
| Practice Address |
14804 S Spring Ridge Cir Balch Springs TX 75180-4315 |
| Practice Telephone | 2146242092 |
| Mailing Telephone | 2146242092 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1000174 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267503 | Brenda Medina | Social Worker | 193 Canal St, Westerly, RI 02891-1556 | 2014-05-13 |
| 1952637803 | Brenda Berenice Medina | Counselor | 2960 Rodeo Park Drive, Santa Fe, NM 87505 | 2009-10-28 |
| 1023490034 | Brenda Medina | Social Worker | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2015-06-25 |
| 1588082333 | Brenda B Medina | Pediatrics | 25825 Vermont Ave, Harbor City, CA 90710 | 2014-03-30 |
| 1609854827 | Brenda Lee Medina | Chiropractor | 330 Franklin Rd, Suite 266b, Brentwood, TN 37027-3280 | 2006-01-06 |
| Street Address |
14804 S SPRING RIDGE CIR |
| City | BALCH SPRINGS |
| State | TX |
| Zip Code | 75180-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700325 | Niyanta Vyas | Pharmacist | Walmart 1118, 12300 Lake June Rd, Balch Springs, TX 75180 | 2020-11-03 |
| 1396396198 | Carolyn Ann Morrow | Technician | 14024 Horseshoe Trail, Balch Springs, TX 75180 | 2019-09-23 |
| 1992211684 | Globo Dental, Pllc | Dentist | 4101 Pioneer Rd. Ste. 500, Balch Springs, TX 75180 | 2017-12-18 |
| 1659707933 | Brackets Dental Pllc | Dentist | 3501 Shepherd Lane, Balch Springs, TX 75180 | 2013-09-19 |
| 1780984906 | Kim E Shaffer | Occupational Therapy Assistant | 4200 Shepherd Lane, Balch Springs, TX 75180 | 2010-10-22 |
| 1386978781 | Evelyn Ebere Ukadike | Home Health Aide | 12801 Keystone Dr, Balch Springs, TX 75180 | 2009-10-01 |
| 1720257876 | Trang T Nguyen | Optometrist | 12300 Lake June Rd., Balch Spring, TX 75180 | 2008-02-22 |
| 1376690735 | Roslyn Morris | Assisted Living Facility | 4217 Culmer St., Balch Springs, TX 75180 | 2007-01-05 |
| 1740387240 | Cvs Pharmacy Inc | Pharmacy | 11820 Elam Rd, Balch Springs, TX 75180 | 2006-09-20 |
| 1871559138 | Sean C Kilgore | Chiropractor | 3501 Shepherd Ln, Balch Springs, TX 75180 | 2006-04-25 |
| Find all providers in zip 75180 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059887 | Stepup Healthcare Inc | Nurse Practitioner | 14858 Bridle Bend Dr, Balch Springs, TX 75180-3638 | 2017-01-17 |
| 1558860528 | Anita Irin Dsouza | Nurse Practitioner | 3515 Shepherd Ln, Balch Springs, TX 75180-2325 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BALCH SPRINGS |
| Zip Code | 75180 |
Please comment or provide details below to improve the information on BRENDA 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.