CHRISTINE GAYLE MEDINA SLP
NPI 1164000139
Speech-Language Pathologist in Louisville, KY

Q: What is Christine Medina's NPI number?

The NPI number for Christine Medina is 1164000139. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Christine Medina's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Christine Medina was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 March 31, 2021Accepts Medicare Assignment

200 BROOKSIDE DR, LOUISVILLE, KY 40243(502) 245-3048 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2024, Mar 31, 2021 (2 updates tracked since 2021).

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About Christine Gayle Medina Slp NPPES

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

CHRISTINE GAYLE MEDINA SLP (NPI 1164000139) is an individual speech-language pathologist provider in Louisville, Kentucky, licensed in Kentucky (3555) and active in the NPI registry since March 2021. She maintains a secondary practice location in Louisville and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164000139

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCHRISTINE GAYLE MEDINACredential: SLP

Location Address200 BROOKSIDE DRLouisville, KY 40243-1277

Mailing Address3506 Pinecone CirLouisville, KY 40241-2725 · (502) 533-2424

Phone(502) 245-3048

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 31, 2021

Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1164000139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in KY · 3555

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

200 BROOKSIDE DR, Louisville, KY 40243

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Secondary Practice Location 1

Location 19600 Lamborne BlvdLouisville, KY 40272-2505 · Phone (502) 935-7284

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christine Gayle Medina Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143604884

PECOS Enrollment IDI20220830003102

Other Providers at the Same Location NPPES 8

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

KARA CASEY BROWN PT

Physical Therapist