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

NICOLE ANNE MEDINE
NPI 1396654794
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 02, 2026
718 ECHO PARK AVE, LOS ANGELES, CA 90026(213) 238-2505 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nicole Anne Medine NPPES

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

NICOLE ANNE MEDINE (NPI 1396654794) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1396654794
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE ANNE MEDINE
Location Address718 ECHO PARK AVELos Angeles, CA 90026-4208
Mailing Address718 Echo Park AveLos Angeles, CA 90026-4208 · (213) 238-2505
Phone(213) 238-2505
Sole ProprietorYes
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1396654794 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
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.
718 ECHO PARK AVE, Los Angeles, CA 90026
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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 Nicole Medine's NPI number?

The NPI number for Nicole Medine is 1396654794. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Nicole Medine located?

Nicole Medine practices at 718 Echo Park Ave, Los Angeles, CA 90026. The listed phone number is (213) 238-2505.

What is Nicole Medine'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 Nicole Medine was last updated on September 2, 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.