JENNIFER LEA MEDINA NP NPI 1659745164

NPI Information

NPI: 1659745164
Provider Name: JENNIFER LEA MEDINA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ROCKY MOUNTAIN VEIN INSTITUTE PLLC

PECOS Registration: Yes

Address:
115 E RIVERWALK
UNIT 200
PUEBLO, CO
ZIP 81003
Phone: (719) 543-8346
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Jennifer Lea Medina, NP is a family nurse practitioner in Pueblo, CO with 16 years of experience. Jennifer Lea Medina, NP NPI is 1659745164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 E RIVERWALK
UNIT 200
PUEBLO, CO
ZIP 81003-308
Phone: (719) 543-8346
Fax: (970) 667-0847

The NPI 1659745164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2015001624	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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