Jessica Medina

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

873095 Issued in TX

Practice address

9111 Jacobs Well Dr
Amarillo, TX 79119-7985

Phone

(806) 470-1375

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1790488641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 JACOBS WELL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197985",
            "telephone_number": "806-470-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 JACOBS WELL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197985",
            "telephone_number": "806-470-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "873095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Orlicek Medford, MD
• Medi-Park Pharmacy
• Medical and Health Alliance
• Medical Center Eye Associates, P.a.
• Medical Staffing Network, Inc.
• Robert Medina Jr., B.S.-R.PH.
• Brenda Meeks, PH.D.
• Clyde A Meeks, M.D.
• Robert G Meeks, M.D.
• Christopher Meerdink

• Registered Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.