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MS. SHIRLEY MEDINA MCP
NPI 1689890725
Specialist in Providence, RI

Active since April 17, 2007
1000 EDDY STREET, PROVIDENCE, RI 02905(401) 533-9100 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shirley Medina Mcp NPPES

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

MS. SHIRLEY MEDINA MCP (NPI 1689890725) is an individual specialist in Providence, Rhode Island and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1689890725
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. SHIRLEY MEDINACredential: MCP
Location Address1000 EDDY STREETProvidence, RI 02905
Mailing Address1000 Eddy StreetProvidence, RI 02905 · (401) 533-9100
Phone(401) 533-9100
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1689890725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1000 EDDY STREET, Providence, RI 02905
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Other Identifiers 5

Other2092RI · Ei Nhprc
Other412296RI · Ei Bchip
Other292177RI · Ei Bcross
Other4600103RI · Ei United
MedicaidES01788RI

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.

ALEJANDRA CALDERON DPT
Physical Therapist
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
MRS. ASHLEY QUINN SHIREY M.ED
Specialist
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
KARA LYNN PAOLELLA M.A.
Counselor (Mental Health)
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
IANNA RENATTA BAZIL
Specialist
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
JENNIFER B ROOSA OTR L
Occupational Therapist
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
MS. KAITLIN M MENIHAN
Specialist
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
DARLENE F. SHUMCHENIA COTA/L
Occupational Therapy Assistant
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100
MEETING STREET CENTER
Clinic/Center (Hearing and Speech)
1000 EDDY STREET
PROVIDENCE, RI 02905
Providence County (401) 533-9100

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 Shirley Medina's NPI number?

The NPI number for Shirley Medina is 1689890725. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Shirley Medina located?

Shirley Medina practices at 1000 Eddy Street, Providence, RI 02905. The listed phone number is (401) 533-9100.

What is Shirley Medina's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shirley Medina was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.