MELISSA MEDINA NP-C NPI 1639587439

NPI Information

NPI: 1639587439
Provider Name: MELISSA MEDINA, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
621 CAMDEN ST
STE 202
SAN ANTONIO, TX
ZIP 78215
Phone: (210) 253-3422
Get Directions

Melissa Medina, NP-C is a family nurse practitioner in San Antonio, TX with 10 years of experience. Melissa Medina, NP-C NPI is 1639587439. 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:

621 CAMDEN ST
STE 202
SAN ANTONIO, TX
ZIP 78215-612
Phone: (210) 253-3422
Fax: (210) 227-9833

The NPI 1639587439 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 7/24/2014 and was last updated on 1/5/2017.

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	AP126071	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	401774YPPM	MEDICARE PIN	TEXAS
2	8953NT	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	359783301	MEDICAID	TEXAS
4	P01733200	OTHER	TEXAS	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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