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JACKMARY MEDINA
NPI 1609710136
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since April 15, 2026
33 W 60TH ST FL 6, NEW YORK, NY 10023(212) 606-2300 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 15, 2026 (2 updates tracked since 2026).

About Jackmary Medina NPPES

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

JACKMARY MEDINA (NPI 1609710136) is an individual psychiatric/mental health provider in New York, New York, licensed in Florida (11046398) and active in the NPI registry since April 2026. She maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1609710136
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKMARY MEDINA
Location Address33 W 60TH ST FL 6New York, NY 10023-7905
Mailing Address200 Avenue F NeWinter Haven, FL 33881-4131
Phone(212) 606-2300
Sole ProprietorYes
Enumeration DateApril 15, 2026
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1609710136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11046398
33 W 60TH ST FL 6, New York, NY 10023
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Secondary Practice Location 1

Location 1200 Avenue F NEWinter Haven, FL 33881-4131 · Phone (863) 293-1121

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.

CINDY A VALENZUELA MSW
Social Worker
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 520-8000
KATHERINE SCHUMACHER
Counselor
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 520-8000
KRYSTAL PATRICIA ACEVEDO
Social Worker (Clinical)
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 360-0555
SHUMEKIA C CONLEY MSW
Social Worker
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 520-8000
ANABEL RODRIGUEZ LMSW
Social Worker
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 520-8000
THALIA UGARTE ROMAN
Marriage & Family Therapist
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (917) 349-3634
ALYSE ANDERSON
Social Worker
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (212) 227-6100
KATRINA KRISTLE LOPEZ MSW
Social Worker
33 W 60TH ST FL 6
NEW YORK, NY 10023
New York County (718) 520-8000

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 Jackmary Medina's NPI number?

The NPI number for Jackmary Medina is 1609710136. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Jackmary Medina located?

Jackmary Medina practices at 33 W 60th St Fl 6, New York, NY 10023. The listed phone number is (212) 606-2300.

What is Jackmary Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jackmary Medina was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.