Katiza Medina
Home Health Aide in Providence, Rhode Island
1356249577- Practice location
- 25 Bucklin St # 3, Providence, RI 02907-2547
- Phone
- 401-443-4008
- Fax
- 401-563-8080
- Last updated
- October 28, 2026
Katiza Medina is a Home Health Aide based in Providence, RI. Katiza Medina practices in Providence, RI. The NPI Number for Katiza Medina is 1356249577 and holds a License No. NA66638 (RI). The current practice location address for Katiza Medina is 25 Bucklin St # 3, Providence, RI 02907-2547 and can be reached out via phone at 401-443-4008 and via fax at 401-563-8080.
Provider Profile Details
- NPI Number
- 1356249577
- Provider Name
- Katiza Medina
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Bucklin St # 3, Providence, RI 02907-2547
- Phone Number
- 401-443-4008
- Fax Number
- 401-563-8080
- Primary Taxonomy
- Home Health Aide · 374U00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2026
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Bucklin St # 3
Providence, RI 02907-2547 - City
- Providence
- State
- Rhode Island
- Zip
- 02907-2547
- Phone Number
- 401-443-4008
- Fax Number
- 401-563-8080
Provider Business Mailing Address Details
- Address
- 12 Hawes St
Pawtucket, RI 02860-1912 - City
- Pawtucket
- State
- RI
- Zip
- 02860-1912
License Information
- License Number
- NA66638
- License State
- RI
- Taxonomy
- Home Health Aide · 374U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Home Health Aide providers near Providence, RI
View all Home Health Aide providers in Providence →Frequently Asked Questions
What is the NPI number of Katiza Medina?
The NPI number of Katiza Medina is 1356249577. It was assigned on October 28, 2026 and is currently active in the NPPES registry.
What is the specialty of Katiza Medina?
Katiza Medina is registered under the primary taxonomy Home Health Aide (code 374U00000X), licensed in RI under license number NA66638.
Where does Katiza Medina practice?
The practice location is 25 Bucklin St # 3, Providence, RI 02907-2547. The office can be reached at 401-443-4008 (phone) or 401-563-8080 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356249577 directly on the NPPES registry website.