What is Keith Medina's NPI number?

Keith Medina's National Provider Identifier (NPI) is 1053085795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keith Medina's specialty?

Keith Medina is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Keith Medina located?

Keith Medina's practice location on file with NPPES is 8045 N 47th Ave, Glendale, AZ 85302-6402.

What is Keith Medina's phone number?

The practice phone number listed in the NPPES registry for Keith Medina is (623) 435-6300.

Is Keith Medina's NPI active?

Yes — Keith Medina's NPI (1053085795) is active in the NPPES registry as of the last update on 2021-08-05.

IndividualActive

Keith Medina, RN

NPI 1053085795 · Registered Nurse · Glendale, AZ

Keith Medina, RN is a Registered Nurse provider in Glendale, AZ (NPI 1053085795).

Provider details

NPI number: 1053085795
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: Yes
License: 201020 (AZ)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 201020 (AZ)
Nursing Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8045 N 47th Ave

Glendale, AZ 85302-6402

Phone: (623) 435-6300

Fax: (623) 435-6369

Street-level locationGet directions

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Mailing address