Kaila Medina, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

750089 Issued in NY

Practice address

2119 Merrick Rd
Merrick, NY 11566-4704

Phone

(516) 225-8416

NPI assigned

Jul 27, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1982385548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALBERT RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117014013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664704",
            "telephone_number": "516-225-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KAILA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "750089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E McHugh, MS OTR/L
• Patricia McKeegan, PH.D.
• Kelsey McLaughlin, PSY.D.
• Otylia Marta McQuay, LCSW-R
• Meadowbrook Medical Solutions LLC
• Kerri Ann Medlin, LMSW
• John P Melinski, D.M.D
• Jennifer B Melnick, LCSW-R
• Heather Meltzer Tocci, BS
• Francine Mendelowitz, LCSW

• Diabetes Educator Registered Nurse in Merrick, NY
• Providers in Merrick, NY by specialty
• Diabetes Educator Registered Nurse in New York

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