Candy Medina, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R53615 Issued in NM

Practice address

1301 Washington St
1301 West Washington Street
Anthony, NM 88021-8846

Phone

(575) 882-6101

Fax

(575) 882-6926

NPI assigned

Dec 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1366863235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WASHINGTON ST",
            "address_2": "1301 WEST WASHINGTON STREET",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218846",
            "telephone_number": "575-882-6101",
            "fax_number": "575-882-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WASHINGTON ST",
            "address_2": "1301 WEST WASHINGTON STREET",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218846",
            "telephone_number": "575-882-6101",
            "fax_number": "575-882-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CANDY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R53615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McCarthy
• Erin Maria McGuinness, LCSW
• Laura McNiece, COTA
• Sarah Joy Medeiros, LPCC
• Alonzo Medina, MS
• Irma Melendez, BS
• Rosemary Melendez, PHARMD
• Lorenza Mena, BA
• Marina I Menchaca, PT
• Aracely Mendoza

• School Registered Nurse in Anthony, NM
• Providers in Anthony, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.