Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Medina, ATC

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1760869358

Stephanie Medina, ATC is a Sports Medicine (Emergency Medicine) Physician in West Lafayette, Indiana. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Phone: (931) 237-1404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 287005 (TN)

Record details

NPI number1760869358
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 3, 2015
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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