Inglan Medina, APRN-PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1024510 Issued in TX

Practice address

7000 Woodhue Dr BLDG B
Austin, TX 78745-5454

Phone

(877) 800-5722

NPI assigned

Jan 10, 2021

Last updated

Jun 25, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1770171290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WOODHUE DR BLDG B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455454",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "INGLAN",
        "credential": "APRN-PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1024510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inglan.medina.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "7000 Woodhue Dr Bldg B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787455454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Medina Bocangel, L.AC
• Wanda I Medina Torres, PHD
• Judith Maria Medina-Rivera, D.M.D.
• Adriana Medina, CF-SLP
• Filiberto Arturo Medina, LPC
• Jeannette Medina
• Karina Medina, RN, IBCLC
• Kylee Medina
• Lisa C. Medina, LCDC
• Maranda Medina, LCSW

• Pediatric Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Nurse Practitioner in Texas

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