IndividualActive
Jacqueline Medina, CAC II
NPI 1912297300 · Community/Behavioral Health Agency · Alamosa, CO
Jacqueline Medina, CAC II is a Community/Behavioral Health Agency provider in Alamosa, CO (NPI 1912297300).
Provider details
- NPI number
- 1912297300
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- CAC II
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7185 (CO)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2265 Lava Ln
Alamosa, CO 81101-3578
Phone: (719) 589-5176
Street-level locationGet directions
Mailing address
1301 Ross Ave
Alamosa, CO 81101-3541
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Frequently asked questions
- What is Jacqueline Medina's NPI number?
- Jacqueline Medina's National Provider Identifier (NPI) is 1912297300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Medina's specialty?
- Jacqueline Medina is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Jacqueline Medina located?
- Jacqueline Medina's practice location on file with NPPES is 2265 Lava Ln, Alamosa, CO 81101-3578.
- What is Jacqueline Medina's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Medina is (719) 589-5176.
- Is Jacqueline Medina's NPI active?
- Yes — Jacqueline Medina's NPI (1912297300) is active in the NPPES registry as of the last update on 2011-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.