Ron Medina (NPI# 1407560287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1407560287 |
| Entity Type | Individual |
| Full Name | Ron Medina |
| Credential | FNP-BC |
| Gender | Male |
| Practice Address |
5140 N California Ave Chicago IL 60625-3645 |
| Practice Telephone | 7738788200 |
| Mailing Address |
5140 N California Ave Chicago IL 60625-3645 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | 09.026387 | IL |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083327142 | Morgan Eminger | 1455 N Milwaukee Ave, Chicago, IL 60622-2015 | 2023-01-03 | |
| 1700598455 | Aubrey Simmons Locey | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2022-12-14 | |
| 1881305142 | Re'jahnique Chicana Matthews | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2022-12-07 | |
| 1588375190 | Shayan Fayaz | 401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264 | 2022-12-06 | |
| 1386361046 | Mai Mckeon | 1656 N. Wells, Chicago, IL 60614 | 2022-10-24 | |
| 1861116691 | Rochelle Erika Nguyen | 6150 N Broadway St, Chicago, IL 60660-2538 | 2022-09-26 | |
| 1386367894 | Mary Nagel | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2022-09-20 | |
| 1538889092 | Miesha Thomas | 1329 W 97th St, Chicago, IL 60643-1417 | 2022-09-02 | |
| 1295455285 | Emily Balmes | 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 | 2022-08-30 | |
| 1003540063 | Jennifer Eisenberg | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2022-07-14 | |
| Find all providers in CHICAGO | ||||
| Street Address |
5140 N CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790499580 | Dhollie Lyn Dayao Quiamco | 5140 N California Ave, Chicago, IL 60625-3645 | 2023-01-06 | |
| 1558087825 | Mevlida Vranjaca | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-10-18 | |
| 1689390957 | Stephen Bancroft | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-10-18 | |
| 1689390957 | Stephen Bancroft | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-10-18 | |
| 1538880158 | Nikaya Acfalle | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-09-12 | |
| 1063130458 | Sarah Parker | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-08-22 | |
| 1447984430 | Yvonne G Stallard | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-07-14 | |
| 1003546847 | Chathushki Bandara | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-06-14 | |
| 1023747292 | Sarah Shareef | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-06-06 | |
| 1720725716 | Fadi Isa Isa | 5140 N California Ave, Chicago, IL 60625-3645 | 2022-05-19 | |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578276309 | Jared Seigal | 4831 N Hoyne Ave # 2, Chicago, IL 60625-1407 | 2022-12-26 | |
| 1033821012 | Megan Trinter | 5259 N Sawyer Ave, Chicago, IL 60625-4715 | 2022-12-21 | |
| 1982316691 | Alexander George Freidinger | 4503 N Rockwell St Apt 3, Chicago, IL 60625-9301 | 2022-12-14 | |
| 1427767623 | Anya Ravitz | 2022 W Berwyn Ave Apt 3b, Chicago, IL 60625-1135 | 2022-11-16 | |
| 1780392332 | Arab American Community Center Home Service Agency | 5352 N Lincoln Ave, Chicago, IL 60625-2316 | 2022-11-14 | |
| 1639887847 | Porcia Seals | 5215 N California Ave Fl 7, Chicago, IL 60625-7014 | 2022-11-08 | |
| 1235846965 | Katherine Fearon | 4943 N Whipple St Apt 1n, Chicago, IL 60625-4132 | 2022-11-02 | |
| 1083321202 | Safia Fahad | 2740 W Foster Ave Ste 105, Chicago, IL 60625-3547 | 2022-10-28 | |
| 1114644622 | Brandie Moore | 2645 W Lawrence Ave, Chicago, IL 60625-2944 | 2022-10-25 | |
| 1457078107 | Olivia Deleon-yi | 2224 W. Lawrence Ave, Chicago, IL 60625 | 2022-10-24 | |
| Find all providers in zip 60625 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.