MEDICARE: NATHALIE A MEDINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CG61240951	WA
2	104100000X	Social Worker	SWIA.SC.61650357	WA
3	1041C0700X	Clinical Social Worker	SWIA.SC.61650357	WA
4	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1134891211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIE A MEDINA

Provider Business Mailing Address
First Line	:	5901 N LIDGERWOOD ST STE 115
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-1122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 K ST
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-1429
Country	:	US
Telephone Number	:	509-668-8867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	04/16/2026

Similar Medicare Providers

1952393639 — TOM J KOESKE MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1811989163 — CHARLES B HOUGH MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1841283157 — MELISSA A NORTON PA-C
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1720071889 — JONATHAN M STABEN MD
Practice Location Address:

19 N 7TH ST
CHENEY, WA
99004-2220

Practice Phone: 509-838-2531
Practice Fax:

1811975568 — CHENEY CARE COMMUNITY
Practice Location Address:

2219 N 6TH ST
CHENEY, WA
99004-2199

Practice Phone: 509-235-6196
Practice Fax: 509-235-2044

1851336606 — MR. DONALD CORNELL SIMS JR. MS, ATC
Practice Location Address:

207 PHYSICAL EDUCATION BUILDING
CHENEY, WA
99004-2476

Practice Phone: 509-359-4763
Practice Fax:

Directions to “ NATHALIE A MEDINA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.