Jacqueline Sherri Medina, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0049146 Issued in CO

Practice address

2002 Yeager Dr
Longmont, CO 80501-1918

Phone

(720) 621-1046

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1457255267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 YEAGER DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011918",
            "telephone_number": "720-621-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 YEAGER DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011918",
            "telephone_number": "720-621-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JACQUELINE",
        "middle_name": "SHERRI",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "0049146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Sydney McVicker
• Layla Nicole Meck
• Medicine Horse Program LLC
• Eduardo Medina Palacios, RBT
• Alejandra Medina
• Stephanie Medina
• Judith Lynn Meduna, LMT
• John C. Mees, O.D.
• Amy Lee Meilen, PT
• Melinda Benz LLC

• Licensed Practical Nurse in Longmont, CO
• Providers in Longmont, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.