Provider Demographics
NPI:1164244950
Name:MEDINGER, ERICKA D (DNP)
Entity type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:D
Last Name:MEDINGER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5200 POINTE WEST CIR APT 23102
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2214
Mailing Address - Country:US
Mailing Address - Phone:402-366-8438
Mailing Address - Fax:
Practice Address - Street 1:4810 RIVERSTONE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4092
Practice Address - Country:US
Practice Address - Phone:832-916-2677
Practice Address - Fax:832-802-6163
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX877461163W00000X
TX1179276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse