Braulia Arleth Alejandrina Medina

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

7614829 Issued in AZ

Practice address

2254 W Brook St
Yuma, AZ 85364-4564

Phone

(928) 550-0013

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1790131654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 W 21ST LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645843",
            "telephone_number": "928-920-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 W BROOK ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644564",
            "telephone_number": "928-550-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BRAULIA",
        "middle_name": "ARLETH ALEJANDRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "7614829",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "7614829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Stephan Meade Jr., M.A., CCC SLP
• Gregory S Meador, CRNA
• Med-Peds of Yuma, PLLC
• Medical Diagnostic Imaging Group LTD
• Daniela Medina Avila
• Samantha Ann Medina, LMSW
• Anaid Medrano Navarro
• Rachit M Mehta, PHARMD
• Alberto Mejia, MD
• Arthur Alexander Mejia, DC

• Child Mental Illness Respite Care in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.