Vida Esperansa Medina I

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5800 Harper Dr NE Apt 1204
Albuquerque, NM 87109-3505

Phone

(505) 690-9517

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By 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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1710873302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HARPER DR NE APT 1204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093505",
            "telephone_number": "505-690-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HARPER DR NE APT 1204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093505",
            "telephone_number": "505-690-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VIDA",
        "middle_name": "ESPERANSA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Medina, LCSW
• Patricia Medina
• Reagina Medina
• Renata Giselle Medina
• Vanessa Medina, CNP
• Mediterra Mindful Care LLC (Speranza)
• Medix Clinical Psychiatry PC
• Amanda K Medoro, M.D.
• Ian Medoro, MD
• Brenda Medrano Bautista

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.