Medstream Healthcare Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDSTREAM HEALTHCARE ASSOCIATES

Practice address

1505 Harroun Ave Ste C
McKinney, TX 75069-3433

Phone

(469) 952-6400

Fax

(469) 952-6410

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy D Dietiker

Title

Administrator

Phone

(469) 952-6400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1720364599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE STE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693433",
            "telephone_number": "469-952-6400",
            "fax_number": "469-952-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE STE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693433",
            "telephone_number": "469-952-6400",
            "fax_number": "469-952-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTREAM HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "DIETIKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-952-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Medina, PMHNP
• Medinatherapy PLLC (The Good Center)
• Medrocs Corporation LLC
• Medrocs Corporation LLC (Medrocs Pharmacy)
• Medspring of Texas, PA
• Medstream Wellness Medical Group
• Medstream Wellness Medical Group
• Sherry Meeks, LPC
• Ellen Francine Cavalcanti Mehta, MSN, APRN, FNP-C
• Cindy Kay Mejia, RN

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.