MRS. MARY MEDINA PMHNP
NPI 1710641089
Nurse Practitioner - Psychiatric/Mental Health in Mckinney, TX

Active since October 23, 2021
4300 COMMUNITY AVE, MCKINNEY, TX 75071(972) 547-5232 Get Directions Write a Review

NPPES record last updated: October 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Medina Pmhnp NPPES

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

MRS. MARY MEDINA PMHNP (NPI 1710641089) is an individual psychiatric/mental health provider in Mckinney, Texas, licensed in Texas (1057358) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1710641089
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MARY MEDINACredential: PMHNP
Location Address4300 COMMUNITY AVEMckinney, TX 75071-2535
Mailing Address13353 Citrus LnFrisco, TX 75035-0024 · (972) 400-5060
Sole ProprietorNo
Enumeration DateOctober 23, 2021
NPPES CertifiedOctober 20, 2021
NPI 1710641089 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 TX · 1057358
4300 COMMUNITY AVE, Mckinney, TX 75071

Other Providers at the Same Location NPPES 4

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

Dentist
4300 COMMUNITY AVE
MCKINNEY, TX 75071
Counselor (Mental Health)
4300 COMMUNITY AVE
MCKINNEY, TX 75071
Psychiatry & Neurology (Psychiatry)
4300 COMMUNITY AVE
MCKINNEY, TX 75071
Social Worker
4300 COMMUNITY AVE
MCKINNEY, TX 75071

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 Mary Medina's NPI number?

The NPI number for Mary Medina is 1710641089. It was assigned to this individual provider in the NPPES registry on October 23, 2021.

Where is Mary Medina located?

Mary Medina practices at 4300 Community Ave, Mckinney, TX 75071. The listed phone number is (972) 547-5232.

What is Mary 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 Mary Medina was last updated on October 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.