Individual provider Active NPI

Yenisleydi Martinez Medina

  • Chore Provider
  • Hastings, NE
National Provider Identifier
1053109793
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
17935788 Issued in NE
Practice address
721 S 1St Ave Apt 101
Hastings, NE 68901-6605
Phone
(402) 705-1650
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 17935788 NE Primary

Addresses

Primary practice location

721 S 1St Ave Apt 101
Hastings, NE 68901-6605

Mailing address

518 S Kansas Ave
Hastings, NE 68901-6127
Phone (402) 460-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17935788NEMDChore Provider

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1053109793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S KANSAS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016127",
            "telephone_number": "402-460-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S 1ST AVE APT 101",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016605",
            "telephone_number": "402-705-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MEDINA",
        "first_name": "YENISLEYDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": "17935788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.