AMANDA BETH MARTIN (NPI# 1003388380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003388380 |
| Entity Type | Individual |
| Full Name | AMANDA BETH MARTIN |
| Practice Address |
E7475 Rawhide Rd New London WI 54961-9025 |
| Practice Telephone | 8773009101 |
| Mailing Telephone | 8773009101 |
| Mailing Fax Number | 9205312686 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3551-226 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340307 | Amanda Martin | Nurse Practitioner | 11807 S 103rd East Ave, Bixby, OK 74008-3023 | 2020-06-12 |
| 1801451489 | Amanda Martin | Pharmacist | 1110 American Pkwy Ne, Allentown, PA 18109-9117 | 2019-05-08 |
| 1811479355 | Amanda Marie Martin | Technician | 21444 East North Railroad, Howe, OK 74940 | 2018-08-31 |
| 1386181907 | Amanda Martin | Counselor | 1235 Riverside Dr Apt E3, Gainesville, GA 30501-1846 | 2017-01-20 |
| 1992249619 | Amanda L. Martin | Specialist/Technologist | 580 Old Homestead Hwy, Swanzey, NH 03446-2301 | 2016-12-14 |
| 1396116802 | Amanda Martin | Student in an Organized Health Care Education/Training Program | 1596 Ogden Rd, Wilmington, OH 45177-9189 | 2015-10-08 |
| 1417254301 | Amanda Martin | Physical Therapy Assistant | 15625 Woodland Point Rd, Newburg, MD 20664-6304 | 2011-02-11 |
| 1801061361 | Amanda Higby Martin | Nurse Practitioner | 1035c Seven Lakes Dr, West End, NC 27376-9081 | 2008-04-25 |
| 1518055763 | Amanda Sue Martin | Occupational Therapy Assistant | 3111 Williamson County Parkway, Marion, IL 62959 | 2006-10-11 |
| 1003865130 | Amanda Martin | Speech-Language Pathologist | 4840 Alpha Dr, Bozeman, MT 59718-9272 | 2006-05-08 |
| Street Address |
E7475 RAWHIDE RD |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841334620 | Rawhide Inc. | Community/Behavioral Health | E7475 Rawhide Rd, New London, WI 54961-9025 | 2007-02-16 |
| 1639780943 | Jacqueline Paige Fiege | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-08-11 |
| 1023647849 | Kari Ann Smith | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-04-03 |
| 1730725938 | Candice Kreis | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-11-22 |
| 1942843172 | Sarah Ann Boyea | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-10-21 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1649820622 | Brittany Cook | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-09-12 |
| 1619449063 | Carey Ann Molinski | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1396255774 | Patti Wagner | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-11 |
| 1679083729 | Laura Selker | Marriage & Family Therapist | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264578 | Francis Counseling Services Inc | Counselor | 304 E Main St Ste 200, New London, IA 52645-1218 | 2019-06-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1770970923 | Heidi Veltheim | Counselor | 165 State St Ste 219, New London, CT 06320-6304 | 2015-04-24 |
| 1649693532 | Melinda Venett | Counselor | 300 State St Ste 307, New London, CT 06320-6152 | 2014-01-28 |
| 1265863286 | Hatina Terras | Counselor | 300 State St Ste 217, New London, CT 06320-6105 | 2013-12-01 |
| 1922331917 | Maureen F Shea | Counselor | 867 Pequot Ave, New London, CT 06320-4243 | 2009-09-09 |
| 1376795112 | Stephanie Gill-manville | Counselor | 21 Montauk Avene, New London, CT 06320-6397 | 2008-10-10 |
| 1154510196 | Michael David Richardson | Counselor | 12496 Old 79, New London, MO 63459-2741 | 2007-10-16 |
| 1306052832 | Julie A. Fischer | Counselor | E8172 Cut Off Rd, New London, WI 54961-9012 | 2007-05-14 |
| 1033168141 | Kim Robinson | Counselor | 12662 Saverton West Dr, New London, MO 63459-3639 | 2006-05-08 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
Please comment or provide details below to improve the information on AMANDA BETH MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.