Margie G. Medina, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5001 Issued in NM

Practice address

1681 Hickory Loop
Las Cruces, NM 88005-6587

Phone

(575) 647-3773

Fax

(575) 647-3777

NPI assigned

Nov 17, 2011

Last updated

Dec 27, 2022By the provider in NPPES

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

Other names 1

• Margarita G. Medina Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aprendamos Intervention Team PA

  • Speech-Language Pathologist
  • Las Cruces, NM
  • NPI 1891245189
  NPD (past)
• Las Cruces School District No. 2

  • Local Education Agency (LEA)
  • Las Cruces, NM
  • NPI 1851301857
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1841567930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PERKINS DR STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053248",
            "telephone_number": "575-647-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 HICKORY LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880056587",
            "telephone_number": "575-647-3773",
            "fax_number": "575-647-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARGIE",
        "middle_name": "G.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARITA",
            "last_name": "MEDINA",
            "middle_name": "G.",
            "credential": "M.A., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Graciela Medina, BS
• Irma Medina
• Liana Medina
• Lilia Monica Medina, RN
• Madeline Medina
• Martin Medina
• Melinda Medina
• Michael Andrew Medina
• Natalie Cherie Medina, CASE MANAGER
• Roberto E Medina, CCP

• Speech-Language Pathologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.