Robert Medina, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002656 Issued in VA

Practice address

10010 W Geiger Blvd
Spokane, WA 99224-9471

Phone

(847) 902-9786

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1437682705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23223 E MAXWELL AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198559",
            "telephone_number": "847-902-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 W GEIGER BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249471",
            "telephone_number": "847-902-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ROBERT",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Medina
• Carol Medina, PHARMD
• Erin Rose Medina, MD
• Jennifer Medina, PMHNP-BC
• Marcella Medina
• Terese Dipalma Medina, LMHC
• Carol Medlin, LPC
• Medtran LLC
• Olena Medvedieva
• Sean Francis Mee, PHD

• Athletic Trainer in Spokane, WA
• Providers in Spokane, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.