Individual provider Active NPI

Alexa A Medina, HIS

  • Hearing Instrument Specialist
  • San Tan Valley, AZ
National Provider Identifier
1376421024
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
THAD15774 Issued in AZ
Practice address
36305 N Gantzel Rd Ste 104
San Tan Valley, AZ 85140-7326
Phone
(480) 331-6521
Fax
(480) 420-3659
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X THAD15774 AZ Primary

Addresses

Primary practice location

36305 N Gantzel Rd Ste 104
San Tan Valley, AZ 85140-7326

Mailing address

36305 N Gantzel Rd Ste 104
San Tan Valley, AZ 85140-7326
Phone (480) 331-6521

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
THAD15774AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Hearing and Tinnitus CurrentSince Aug 25, 2025 Accepting new patients
Priority Hearing and Balance LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

36305 N Gantzel Rd
Ste 104
San Tan Vly, AZ 85140
Phone (480) 331-6521

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1376421024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36305 N GANTZEL RD STE 104",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407326",
            "telephone_number": "480-331-6521",
            "fax_number": "480-420-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36305 N GANTZEL RD STE 104",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407326",
            "telephone_number": "480-331-6521",
            "fax_number": "480-420-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALEXA",
        "middle_name": "A",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "THAD15774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.