Sheila Ann Medina, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NURU1339 Issued in AK

Practice address

94043 Loop Rd
Fort Hood, TX 76549

Phone

(254) 288-9265

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Heroes Healing Others

  • Primary Care Clinic/Center
  • Harker Heights, TX
  • NPI 1174286926
  NPD Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1619256518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 RALLY LN",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486032",
            "telephone_number": "240-476-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94043 LOOP RD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-288-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "0039513",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "NURU1339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria McMullan, RN
• Marel Ann McNamara
• Tamara McReynolds, D.O.
• Teresa Ann McVicker, CRNA
• Beate Medina
• Makayla R Medrano
• Marijeta Medverec, PA-C
• Jeffery Michael Mehaffey, MPAS, PA-C
• Hyon Chu Mehl, CNA
• Eric Anthony Mehta, M.D.

• Primary Care Nurse Practitioner in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.