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MR. RICARDO MEDINA SR.
NPI 1629526355
Peer Specialist in Miami, OK

Active since September 11, 2016
111 S TREATY RD, MIAMI, OK 74354(918) 540-1522 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ricardo Medina Sr. NPPES

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

MR. RICARDO MEDINA SR. (NPI 1629526355) is an individual peer specialist in Miami, Oklahoma and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1629526355
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. RICARDO MEDINA SR.
Location Address111 S TREATY RDMiami, OK 74354-5327
Mailing Address530 N Pearl AveJoplin, MO 64801-2465 · (417) 437-7027
Phone(918) 540-1522
Sole ProprietorYes
Enumeration DateSeptember 11, 2016
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1629526355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
111 S TREATY RD, Miami, OK 74354
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Other Identifiers 1

OtherS202187064TX · Drivers License

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.

NINA SHORT
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
JOHN KLENKE LPC-C
Counselor (Mental Health)
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 592-8614
BRANDON ALLAN MAPLES
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KASEY NICOLE KING
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 260-9546
CAROLINE JONES
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TIMOTHY HUNTER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KAREN LEE FEATHER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TERRY DEE ANN WILSON
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511

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 Ricardo Medina's NPI number?

The NPI number for Ricardo Medina is 1629526355. It was assigned to this individual provider in the NPPES registry on September 11, 2016.

Where is Ricardo Medina located?

Ricardo Medina practices at 111 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 540-1522.

What is Ricardo Medina's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ricardo Medina was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.