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LISA J MEDINA RDH
NPI 1093182446
Dental Hygienist in Rio Rancho, NM

Active since September 01, 2015
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124(505) 896-7100 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa J Medina Rdh NPPES

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

LISA J MEDINA RDH (NPI 1093182446) is an individual dental hygienist in Rio Rancho, New Mexico, licensed in New Mexico (DH4346) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1093182446
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameLISA J MEDINACredential: RDH
Location Address2300 GRANDE BLVD SERio Rancho, NM 87124-1755
Mailing Address2300 Grande Blvd SeRio Rancho, NM 87124-1755 · (505) 896-7100
Phone(505) 896-7100
Sole ProprietorNo
Enumeration DateSeptember 1, 2015
Last NPPES UpdateApril 4, 2018
✔ NPI 1093182446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in NM · DH4346
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2300 GRANDE BLVD SE, Rio Rancho, NM 87124
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Other Identifiers 1

Medicaid1093182446NM

Other Providers at the Same Location NPPES 9

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

MELISSA CAROL WARD CSW
Case Manager/Care Coordinator
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
DR. SANTIAGO MARINEZ AYALA MD
Family Medicine
2300 GRANDE BLVD SE, SUITE A
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
STACEY GRACE ROMERO LPCC
Counselor (Professional)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
MIKAELLA GARCIA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-0928
ESTELLE MARIE ELLIOTT FNP-BC
Nurse Practitioner (Family)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
TAWNIA MANUELITO LCSW
Social Worker (Clinical)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 331-8743
MRS. CARLA RAE KYCHIK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100

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 Lisa Medina's NPI number?

The NPI number for Lisa Medina is 1093182446. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Lisa Medina located?

Lisa Medina practices at 2300 Grande Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 896-7100.

What is Lisa Medina's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Medina was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.