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

AMY MEDEMA
NPI 1396662722
Counselor - School in Randolph, WI

Active since July 06, 2026
110 MEADOWOOD DR, RANDOLPH, WI 53956(920) 326-2425 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Medema NPPES

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

AMY MEDEMA (NPI 1396662722) is an individual school provider in Randolph, Wisconsin, licensed in Wisconsin (603148) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1396662722
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameAMY MEDEMA
Location Address110 MEADOWOOD DRRandolph, WI 53956-1318
Mailing Address110 Meadowood DrRandolph, WI 53956-1318 · (920) 326-2425
Phone(920) 326-2425
Sole ProprietorNo
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1396662722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in WI · 603148
110 MEADOWOOD DR, Randolph, WI 53956
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Other Providers at the Same Location NPPES

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

RANDOLPH SCHOOL DISTRICT
Local Education Agency (LEA)
110 MEADOWOOD DR
RANDOLPH, WI 53956
Dodge County (920) 326-2427

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 Amy Medema's NPI number?

The NPI number for Amy Medema is 1396662722. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Amy Medema located?

Amy Medema practices at 110 Meadowood Dr, Randolph, WI 53956. The listed phone number is (920) 326-2425.

What is Amy Medema's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Amy Medema was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.