Individual
DR. NICOLE I MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10158726-2501
UT
103TC0700X
Clinical Psychologist
Primary
10158726-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10158726-2501
PROFESSIONAL LICENSE
UT
05
—
1235488008
—
UT
Enumeration date
09/07/2012
Last updated
08/11/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up