1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Technician
  6. NPI Profile

ANNELISE ELIZABETH MEDINA
NPI 1184193617
Technician - Attendant Care Provider in Grand Rapids, MI

Active since November 14, 2018
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annelise Elizabeth Medina NPPES

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

ANNELISE ELIZABETH MEDINA (NPI 1184193617) is an individual attendant care provider provider in Grand Rapids, Michigan and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1184193617
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameANNELISE ELIZABETH MEDINA
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address4393 Division StWayland, MI 49348-9786 · (269) 397-0527
Phone(616) 940-0040
Sole ProprietorNo
Enumeration DateNovember 14, 2018
✔ NPI 1184193617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
Open in Google Maps ↗

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.

RICHARD KEITH SMEDLEY RMA
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
SAMANTHA KAY RASTALL
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 248-5205
JENNIFER JOHNSON
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (000) 000-0000
MRS. KWANYAH SEAWOOD SANDIFER
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
DEVAN ALEXIS COURTLAND
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (855) 407-7575
JULIE DALTON
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
BRITTENY JEAN ALDRICH
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 788-5955
DANIELLE SUZANNE DETTMANN
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (269) 804-2828

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 Annelise Medina's NPI number?

The NPI number for Annelise Medina is 1184193617. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Annelise Medina located?

Annelise Medina practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Annelise Medina's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Annelise Medina was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.