Christine D Medina
Individual provider Active NPI Licensed Practical Nurse · Prattsburgh, NY
NPI 1932059987 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1932059987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 290275 (NY)
- Practice address
- 10318 Mattoon Rd
Prattsburgh, NY 14873-9335 - Phone
- (607) 794-1743
- NPI assigned
- Jan 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290275 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290275 | NY | Yes |
Addresses
Primary practice location
10318 Mattoon Rd
Prattsburgh, NY 14873-9335
Mailing address
10318 Mattoon Rd
Prattsburgh, NY 14873-9335
Phone (607) 794-1743
Other providers in Prattsburgh, NY
- Sarah S Hilton
- Emma Jiusto
- Dawn M Kriegar
- Melissa Sue Lafler
- Sarah Martinez
- Karen Sue Miller
- Elizabeth Ann Olson
- Brittany E. Peck
- Prattsburgh Central School
- Kaitlyn Rose Schultz
All providers in Prattsburgh, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.