Stefani Andreina Medina

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN32484 Issued in FL

Practice address

12549 Westhaven Way
Fort Myers, FL 33913-8786

Phone

(239) 745-1933

NPI assigned

Jul 1, 2024

Last updated

Aug 19, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1427894328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12549 WESTHAVEN WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138786",
            "telephone_number": "239-745-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12549 WESTHAVEN WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138786",
            "telephone_number": "239-745-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "STEFANI",
        "middle_name": "ANDREINA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN32484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Staffing Network, Inc. (Nurses Plus)
• Medical Xpress of SW FL Inc
• Mark Medick
• Kevin Medina Palenzuela, RBT
• Kristin Medina, MSW
• Otto R Medinilla Jr., PAC
• Brian Medlin, DO
• Medquad Care Center LLC
• Kolin Meehan, MD
• Ashlee Allison Meeker, PHARMD

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.