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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIFFANY MAE MEDINA RN
NPI 1053219055
Student in an Organized Health Care Education/Training Program in Williston, ND

Active since October 29, 2026
1301 15TH AVE W, WILLISTON, ND 58801(701) 774-7400 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tiffany Mae Medina Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MAE MEDINA RN (NPI 1053219055) is an individual student in an organized health care education/training program in Williston, North Dakota, licensed in North Dakota (R51171) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053219055
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY MAE MEDINACredential: RN
Location Address1301 15TH AVE WWilliston, ND 58801-3821
Mailing Address5982 Juniper Dr NwWilliston, ND 58801-9154 · (303) 305-9550
Phone(701) 774-7400
Sole ProprietorNo
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1053219055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in ND · R51171
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 15TH AVE W, Williston, ND 58801
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESUL SONG
Pharmacist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
KELSEY JORDAN SEDERQUEST
Physician Assistant (Medical)
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-7651
TERESA BELLIS
Physical Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
STEVEN CRAIG SALCIDO M.D.
Emergency Medicine
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (505) 340-6124
CHI HEALTH CONNECT AT HOME-FARGO
Home Health
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7430
MR. ISAAC CHANDRANATH GEORGE OTR
Occupational Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 572-1848
NANA OFORIWAA BOATENG FNP-C
Nurse Practitioner (Family)
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7400
JEANINE HICKS R.D.
Dietitian, Registered
1301 15TH AVE W
WILLISTON, ND 58801
Williams County (701) 774-7401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Medina's NPI number?

The NPI number for Tiffany Medina is 1053219055. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Tiffany Medina located?

Tiffany Medina practices at 1301 15th Ave W, Williston, ND 58801. The listed phone number is (701) 774-7400.

What is Tiffany Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tiffany Medina was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.