Crystal Nichole Medina, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN-22297 Issued in NM

Practice address

151 N Roadrunner Pkwy Apt 103
Las Cruces, NM 88011-7021

Phone

(575) 571-0142

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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)

Enrolled

Practice roles

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.

• Help at Home LLC

  • Nursing Care Agency
  • Las Cruces, NM
  • NPI 1134685902
  NPD (past) Authorized official

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1699231464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 RIMROCK DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880125076",
            "telephone_number": "575-571-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N ROADRUNNER PKWY APT 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117021",
            "telephone_number": "575-571-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CRYSTAL",
        "middle_name": "NICHOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "LPN-22297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katya Medina Mani
• Kenia Medina Reyes
• Cristina Alejandra Medina-Nunez
• Ana Medina, CSFA
• Brianna Medina
• Daisy Medina
• Graciela Medina, BS
• Irma Medina
• Liana Medina
• Lilia Monica Medina, RN

• Licensed Practical Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.