STEPHANIE LYN MEDINA
NPI 1093313033
Licensed Practical Nurse in Phoenix, AZ

Q: What is Stephanie Medina's NPI number?

The NPI number for Stephanie Medina is 1093313033. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Stephanie Medina's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Medina was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 13, 2020

2349 N 83RD DR, PHOENIX, AZ 85037(619) 309-6824 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stephanie Lyn Medina NPPES

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

STEPHANIE LYN MEDINA (NPI 1093313033) is an individual licensed practical nurse in Phoenix, Arizona, licensed in Arizona (218387) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1093313033

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTEPHANIE LYN MEDINA

Location Address2349 N 83RD DRPhoenix, AZ 85037-3742

Mailing Address2349 N 83rd DrPhoenix, AZ 85037-3742 · (619) 309-6824

Phone(619) 309-6824

Sole ProprietorYes

Enumeration DateOctober 13, 2020

NPPES CertifiedOctober 13, 2020

✔ NPI 1093313033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AZ · 218387

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2349 N 83RD DR, Phoenix, AZ 85037

Open in Google Maps ↗

Other Identifiers 1

Other218387AZ · Licenced Practical Nurse

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 Stephanie Medina's NPI number?

The NPI number for Stephanie Medina is 1093313033. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Stephanie Medina located?

Stephanie Medina practices at 2349 N 83rd Dr, Phoenix, AZ 85037. The listed phone number is (619) 309-6824.

What is Stephanie Medina's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Medina was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.